+

WO1998004282A1 - Immunotherapie du cancer au moyen de cellules tumorales autologues combinees a des cellules allogeniques secretant une cytokine - Google Patents

Immunotherapie du cancer au moyen de cellules tumorales autologues combinees a des cellules allogeniques secretant une cytokine Download PDF

Info

Publication number
WO1998004282A1
WO1998004282A1 PCT/US1997/013205 US9713205W WO9804282A1 WO 1998004282 A1 WO1998004282 A1 WO 1998004282A1 US 9713205 W US9713205 W US 9713205W WO 9804282 A1 WO9804282 A1 WO 9804282A1
Authority
WO
WIPO (PCT)
Prior art keywords
cells
tumor
cell
human
cytokine
Prior art date
Application number
PCT/US1997/013205
Other languages
English (en)
Inventor
John C. Hiserodt
Martin R. Graf
Gale A. Granger
Original Assignee
The Regents Of The University Of California
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by The Regents Of The University Of California filed Critical The Regents Of The University Of California
Priority to AU39655/97A priority Critical patent/AU3965597A/en
Priority to DE69739046T priority patent/DE69739046D1/de
Priority to CA002261837A priority patent/CA2261837A1/fr
Priority to EP97937043A priority patent/EP0915708B1/fr
Publication of WO1998004282A1 publication Critical patent/WO1998004282A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12—Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12—Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/13—Tumour cells, irrespective of tissue of origin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/19—Cytokines; Lymphokines; Interferons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/19—Cytokines; Lymphokines; Interferons
    • A61K38/191—Tumor necrosis factors [TNF], e.g. lymphotoxin [LT], i.e. TNF-beta
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/19—Cytokines; Lymphokines; Interferons
    • A61K38/193—Colony stimulating factors [CSF]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/19—Cytokines; Lymphokines; Interferons
    • A61K38/20—Interleukins [IL]
    • A61K38/2013—IL-2
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/19—Cytokines; Lymphokines; Interferons
    • A61K38/20—Interleukins [IL]
    • A61K38/2026—IL-4
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K39/0005—Vertebrate antigens
    • A61K39/0011—Cancer antigens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K39/39—Medicinal preparations containing antigens or antibodies characterised by the immunostimulating additives, e.g. chemical adjuvants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/52—Cytokines; Lymphokines; Interferons
    • C07K14/525—Tumour necrosis factor [TNF]
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/52—Cytokines; Lymphokines; Interferons
    • C07K14/53—Colony-stimulating factor [CSF]
    • C07K14/535—Granulocyte CSF; Granulocyte-macrophage CSF
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/52—Cytokines; Lymphokines; Interferons
    • C07K14/54—Interleukins [IL]
    • C07K14/5406—IL-4
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/52—Cytokines; Lymphokines; Interferons
    • C07K14/54—Interleukins [IL]
    • C07K14/55—IL-2
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K2039/51—Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/515—Animal cells
    • A61K2039/5152—Tumor cells
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511—Organic adjuvants
    • A61K2039/55522—Cytokines; Lymphokines; Interferons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511—Organic adjuvants
    • A61K2039/55522—Cytokines; Lymphokines; Interferons
    • A61K2039/55527—Interleukins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511—Organic adjuvants
    • A61K2039/55522—Cytokines; Lymphokines; Interferons
    • A61K2039/55527—Interleukins
    • A61K2039/55533—IL-2
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2510/00—Genetically modified cells
    • C12N2510/02—Cells for production
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2799/00—Uses of viruses
    • C12N2799/02—Uses of viruses as vector
    • C12N2799/021—Uses of viruses as vector for the expression of a heterologous nucleic acid
    • C12N2799/027—Uses of viruses as vector for the expression of a heterologous nucleic acid where the vector is derived from a retrovirus

Definitions

  • the present invention relates generally to the fields of cellular immunology and cancer therapy.
  • a cellular vaccine comprising cells genetically altered to secrete a cytokine, in combination with a source of tumor antigen.
  • astrocytomas glioblastoma multiforme
  • the overall survival for grade IV astrocytomas is poor, with -50% of patients dying in the first year after diagnosis.
  • a second example is ovarian carcinoma. This cancer is the fourth most frequent cause of female cancer death in the United States. Because of its insidious onset and progression, 65 to 75 percent of patients present with tumor disseminated throughout the peritoneal cavity. Although many of these patients initially respond to the standard combination of surgery and cytotoxic chemotherapy, nearly 90 percent develop recurrence and inevitably succumb to their disease.
  • immunotherapy An emerging area of cancer treatment is immunotherapy.
  • the general principle is to confer upon the subject being treated an ability to mount what is in effect a rejection response, specifically against the malignant cells.
  • immunological strategies including: 1. Adoptive immunotherapy using stimulated autologous cells of various kinds; 2. Systemic transfer of allogeneic lymphocytes; 3. Intra-tumor implantation of immunologically reactive cells; and 4. Vaccination at a distant site to generate a systemic tumor-specific immune response.
  • the first of the strategies listed above, adoptive immunotherapy is directed towards providing the patient with a level of enhanced immunity by stimulating cells ex vivo, and then readministering them to the patient.
  • the cells are histocompatible with the subject, and are generally obtained from a previous autologous donation.
  • Osband suggests activating a tumor patient's mononuclear cells by culturing them ex vivo in the presence of tumor cell extract and a non-specific activator like phytohemagglutinin or IL-1 , and then treating the culture to deplete suppresser cell activity.
  • Autologous lymphocytes and killer cells may also be stimulated non-specifically.
  • Fc receptor expressing leukocytes that can mediate an antibody-dependent cell-mediated cytotoxicity reaction are generated by culturing with a combination of IL-2 and IFN- ⁇ US Patent No. 5,308,626.
  • peripheral blood-derived lymphocytes cultured in IL-2 form lymphokine- activated killer (LAK) cells, which are cytolytic towards a wide range of neoplastic cells, but not normal cells.
  • LAK are primarily derived from natural killer cells expressing the CD56 antigen, but not CD3.
  • Such cells can be purified from peripheral blood leukocytes by IL-2-induced adherence to plastic (A-LAK cells; see U.S.
  • TIL tumor-infiltrating lymphocytes
  • TILs are obtained by collecting lymphocyte populations infiltrating into tumors, and culturing them ex vivo with IL-2.
  • Finke et al. (1990) Cancer Res. 50:2363-2370 have characterized cytolic activity of CD4+ and CD8+ TIL in human renal cell carcinoma.
  • TILs have activity and tumor specificity superior to LAK cells, and have been experimentally administered, for example, to humans with advanced melanoma. Rosenberg et al. (1990) New Engl. J. Med. 323:570-578.
  • TILs cytotoxic T lymphocytes
  • CTL cytotoxic T lymphocytes
  • TILs can only be prepared in sufficient quantity to be clinically relevant in a limited number of tumor types. These strategies remain experimental, especially in human therapy.
  • the second of the strategies for cancer immunotherapy listed earlier is adoptive transfer of allogeneic lymphocytes. The rationale of this experimental strategy is to create a general level of immune stimulation, and thereby overcome the anergy that prevents the host's immune system from rejecting the tumor.
  • the third of the immunotherapy strategies listed earlier is intra-tumor implantation. This is a strategy directed at delivering effector cells directly to the site of action. Since the transplanted cells do not circulate, they need not be histocompatibie with the host. Intratumor implantation of allogeneic cells may promote the ability of the transplanted cells to react with the tumor, and initiate a potent graft versus tumor response.
  • Kruse et al. (1994) J. Neurooncol. 19:161-168 prepared CTLs from four MHC incompatible rat strains, and used them to treat Fischer rats bearing established 9L brain tumors. CTL were administered on a biweekly schedule, a different MHC incompatible CTL preparation being administered each time. Animals without tumor showed minimal localized brain damage. Those with tumors either showed: a) mononuclear cell infiltration, massive tumor necrosis beginning 2-4 days after treatment, and total tumor destruction by 15 days; or b) cellular infiltration, early tumor destruction, and then tumor regrowth progressing to death of the animal. Tumor regressor animals were resistant to intracranial rechallenge with viable tumor cells. Kruse et al. (1994). Intratumor CTL implants may optionally be combined with chemotherapy using cyclophosphamide. Kruse et al. (1993) J. Neurooncol. 15:97-112.
  • the fourth of the immunotherapy strategies listed earlier is the generation of an active systemic tumor-specific immune response of host origin.
  • the response is elicited from the subject's own immune system by administering a vaccine composition at a site distant from the tumor.
  • the specific antibodies or immune cells elicited in the host as a result will hopefully migrate to the tumor, and then eradicate the cancer cells, wherever they are in the body.
  • An alternative approach to an anti-tumor vaccine is to use tumor cells from the subject to be treated, or a derivative of such cells.
  • tumor cells from the subject to be treated, or a derivative of such cells.
  • Hanna Jr. et al. claim a method for treating a resectable carcinoma to prevent recurrence or metastases, comprising surgically removing the tumor, dispersing the cells with collagenase, irradiating the cells, and vaccinating the patient with at least three consecutive doses of about 10 7 cells.
  • the cells may optionally be cryopreserved, and the immune system may be monitored by skin testing. This approach does not solve the well-established observations that many tumors are not naturally immunogenic. Many patients from which tumors have been resected are either tolerant or unable to respond to their own tumor antigen, even when comprised in a vaccine preparation.
  • Tumor cells may be combined with extracts of bacillus Calmette-Guerin (BCG) or the A60 mycobacterial antigen complex. Berd et al. (1990) J. Clin. Oncol. 8:1858-67; Maes et al. (1996) J. Cancer Res. Clin. Oncol. 122:296-300. Tumor cells may be lysed by or mixed with vaccinia virus. Hersey et al.; Ito et al. Tumor cells may be incubated with the Newcastle Disease Virus (NDV). US Patent No. 5,273,745.
  • BCG Bacillus Calmette-Guerin
  • Autologous tumor cells may also be conjugated to haptens like dinitrophenyl.
  • Guo and coworkers suggest that tumor cells be fused with membrane components of a second cell that has a greater immunogenic potential.
  • Suitable cells are an activated antigen-presenting cell such as a B cell.
  • the fusion partner cell may be genetically altered to express an MHC protein, adhesion protein, or a cytokine. Rat hepatocarcinoma cells lost tumorigenicity when fused with syngeneic B cells, and were capable of eliciting a T-cell response.
  • autologous or syngeneic tumor cells are genetically altered to produce a costimulatory molecule.
  • costimulatory molecules include cell surface receptors, such as the B7-1 costimulatory molecule or allogeneic histocompatibility antigens. Salvadori et al.(1995) Hum. Gene Ther. 6:1299-1306; Plaksin et al. (1994) Int. J. Cancer 59:796-801 ; EP 56967.
  • Tumor cells have been genetically altered to produce TNF- ⁇ , IL-1 , IL-2, IL-3, IL-4, IL-6, IL-7, IL-10, IFN- ⁇ , IFN- ⁇ and GM-CSF. Asher et al.
  • cytokines like IL-2 induce a response that is protective against otherwise non- immunogenic adenocarcinoma cells, including distant metastases. Cavallo et al. 1991 & 1992. Antitumor immunity is intensified by a cancer vaccine that produces both GM-CSF and IL-4. Wakimoto et al. (1996) Cancer Res. 56:1828-33. The cytokine or cytokine combination may recruit or stimulate cells of the immune system, and thereby overcome the normal barrier to immunity. Certain cytokines also affect the expression of major histocompatibility molecules and intercellular adhesion molecules by cancer cells (Santin et al. 1995a, Int. J.
  • Blumbach (WO 96/05866) has suggested vaccines of live tumor cells transduced with: a) a gene coding for an immunostimulatory protein; b) a cytokine; and c) a thymidine kinase gene.
  • the composition is provided as live ceils which can grow in vivo and stimulate a response, and then be selectively killed via the thymidine kinase.
  • escape mutants is likely to be a subject of regulatory concem for this approach in human therapy.
  • Golumbek et al. (1992) J. Immunother. 12:224-230 have shown that proliferating tumor cells with suicide genes can also survive toxin treatment when they exit the cell cycle temporarily or are sequestered pharmacologically.
  • Cohen WO 95/31107
  • neoplastic disease can be treated with a cellular immunogen comprising allogeneic cells genetically altered to express one or more cytokines, and also to express tumor-associated antigens encoded by autologous genomic tumor DNA.
  • an allogeneic cell (exemplified as a mouse LM cell) is genetically altered to express: a) a cytokine; and b) a tumor-associated antigen autologous to the subject to be treated.
  • the vaccine need not comprise live tumor cells.
  • application of the Cohen invention to human subjects would require prior knowledge for each patient of a particular tumor-associated antigens expressed by the particular tumor.
  • a suitable strategy for a human anti-tumor cellular vaccine has to contend with the following problems: a) heterogeneity amongst tumors (even tumors of the same type) in the display of tumor- associated antigens; b) heterogeneity in the immune response between individuals with regards to both antigens and cytokines; c) ethical and regulatory concerns about compositions that may be used in humans; and d) lack of development time in most clinical settings, limiting the ability to engineer new cell lines or otherwise tailor the vaccine to each patient.
  • compositions and methods for eliciting an anti-tumor immune response in a human patient in need thereof are cells or cell mixtures in a compatible excipient, and are referred to herein as a vaccine or an immunogenic composition. They may be administered to patients either to treat or palliate a clinically detectable tumor, or for prophylaxis, particularly after surgical debulking, chemotherapy or radiation therapy of a previously detectable tumor.
  • the compositions are typically administered at a location distant from the original tumor, with the objective of stimulating a systemic reactivity against the tumor. The reactivity may in turn eradicate or slow the development of tumor cells, either at the primary site, within metastases (if there are any), or both.
  • the vaccines of this invention comprise two components.
  • the first is a source of tumor antigen, preferably a plurality of antigens, which is associated with the cancer for which the patient is at risk.
  • a convenient source of tumor-associated antigen is tumor cells previously obtained from the patient, such as during surgical resection.
  • the second component is a cytokine producing cell capable of stimulating the patient's immune system to produce an anti-tumor response.
  • the cytokine producing cell is a cell from an allogeneic donor, typically a tumor cell and preferably a tumor cell of the same type as the subject being treated, that has been genetically altered to express the cytokine at an elevated level.
  • a preferred source of tumor antigen is the patient, and the vaccine is typically assembled by mixing tumor cells from the patient (or antigen therefrom) with the allogeneic cytokine-producing cells.
  • the cytokine producing cell is a cell that is autologous or syngeneic to the patient that has been genetically altered to produce a cytokine.
  • the cell will be a cell obtained from the patients tumor (or its progeny) that was subsequently altered so as to produce an effective amount of the cytokine.
  • the same cell provides both components necessary to evoke the desired response: i.e., both the tumor antigen and the stimulatory cytokine.
  • Cytokines useful for expression by the cytokine-producing cells include those that promote immunostimulation against the tumor antigen by any mechanism.
  • Preferred and non-limiting examples are IL-4, GM-CSF, IL-2, TNF- ⁇ , and M-CSF.
  • the cytokine is primarily secreted by the cell.
  • the cytokine is produced by the cell as a transmembrane protein, and provides immunostimulation by a mechanism that may involve intercellular contact.
  • Transmembrane cytokines include those such as mM-CSF, that naturally occur in a transmembrane form, and cytokines that naturally occur in a secreted form that are engineered to incorporate a region that allows them to be retained in the cell membrane.
  • compositions and methods for treating a neoplastic disease such as cancer comprising administering any one of the compositions or vaccines of this invention, or eliciting an anti-tumor immunological response according to any one of the methods of this invention.
  • the treatment is effective in palliating the disease condition according to any clinically acceptable criteria for improvement, such as inhibition of tumor growth, increase in life expectancy of the patient, or improvement in quality of life or performance activity score.
  • Further embodiments of the invention include kits and methods for assembling the immunological and pharmaceutical compositions of this invention for use according to the descnptions provided in this disclosure
  • Figure 1 is a two-panel graph depicting the growth properties (Panel A) and cytokine secretion (Panel B) by an ovanan cancer cell line genetically altered to express IL-4, designated UCI 107E IL-4 GS
  • Figure 2 is a three-panel graph showing the effects of irradiation on the IL-4 secreting tumor cell line UCI 107E IL-4 GS
  • Panel A shows the growth pattern of cells given 5,000 (D) or 10,000 ( ⁇ ) rads
  • Panels B and C show IL-4 detected by ELISA in the culture medium expressed as total concentration (Panel B) or per cell (Panel C) vanous times after irradiation
  • Figure 3 is a se ⁇ es of FACS analysis profiles (incidence versus fluorescence intensity) revealing expression of vanous surface antigen by UCI 107E IL-4 GS, before or after irradiation with 5,000 or 10,000 rads
  • Figure 4 is a four-panel graph depicting cytokine secretion by human ghoblastoma clones genetically altered to express TNF- ⁇ , IL-4, IL-2, or GM-CSF
  • Figure 5 is a three-panel graph showing the effects of irradiation on viability and TNF- ⁇ secretion by the ghoblastoma cell line ACBT/TNF-G at 10,000 (D) or 20,000 ( ⁇ ) rads
  • Figure 6 is a graph showing that rats surviving intracranial implantation with live syngeneic ghoblastoma cells expressing membrane M-CSF ( ⁇ ) but not naive controls (•) survive a subsequent intracranial challenge with parental ghoblastoma cells (Panel A) or glioma cells (Panel B), but not adenocarcinoma cells (Panel C)
  • Figure 7 is two-panel graph showing that syngeneic ghoblastoma cells expressing membrane M- CSF induce a systemic cell-mediated immunity in animals
  • the Upper Panel shows that splenocytes transfer tumor resistance between animals (•) unless depleted using anti-T-lymphocyte antibody ( ⁇ )
  • the Lower Panel shows that administration of the M-CSF expressing cell line ( ⁇ ) but not vector control cells (•) at a site outside the brain causes regression of the tumor cells injected subcutaneously
  • a central feature of the cellular vaccines of this invention is the use of multiple components that act in concert once inside the host to produce the desired effect
  • the strategy is more than just an injection of cancer cells
  • the strategy is a significant departure from previous approaches to cancer immunotherapy in humans
  • Several important embodiments of this invention differ from other compositions compnsing cancer cells, in that it contains separately, a) tumor associated antigen, and b) a cytokine expressing cell line that acts in trans to induce a beneficial response against the antigen
  • Tumor antigen is preferably provided from a cancer cell or the progeny thereof, preferably a cell autologous to the subject to be treated, typically obtained from the subject either by surgical resection, biopsy, blood sampling, or other suitable technique.
  • the cytokine-producing cell is from a different donor which is genetically altered and characterized ahead of time for properties relating to its ability to stimulate an enhanced immune response when used in a vaccine of this invention.
  • the genetically altered cell is allogeneic to the subject being treated, and is typically the same type of cancer as is borne by the subject.
  • a second-generation vaccine would encompass a number of improvements over previously disclosed compositions. Desirable improvements include:
  • composition that could stimulate an active response against a plurality of tumor-associated antigens in any subject treated;
  • the immunostimulatory cells and the source of tumor antigen should be different.
  • Cells genetically altered to produce cytokines are strongly immunostimulatory.
  • cells When cells are obtained from a donor other than the subject, they can be genetically altered in advance, cloned to stabilize the characteristics, selected for high levels of expression, and further selected for an ability to express cytokines even after inactivation. This eliminates the need to culture each autologous cell line, and has the benefit of careful standardization and quality control.
  • the fact that the immunostimulatory cells are typically HLA-incompatible is probably irrelevant, since their main role is to initiate an immunological reaction in the host, which can then mature after the immunostimulatory cells are depleted. HLA-incompatibility can even be an advantage in the immunostimulatory potential of the cells.
  • Stimulation is provided to generate an immune reaction against tumor antigen as a bystander.
  • a nexus of tumor antigen is supplied by residual primary tumor cells.
  • a plurality of tumor antigen associated with the subject's own tumor is used. This is conveniently provided by using cells obtained from the subject's tumor, progeny thereof, or an extract of either the primary tumor cells or their progeny. These cells may also be inactivated, since they generally do not need to proliferate to provide tumor antigen.
  • Using autologous tumor cells confers the additional advantage of being HLA-compatible, meaning the cells may persist near the injection site or at another site of ongoing immunological activity, to assist in the maturation of the response.
  • a hallmark of the cellular vaccines of the present invention is that the effect is substantially greater than is obtained using tumor cells alone, or tumor cells mixed with previously used adjuvants or cofactors. Interaction between the tumor cells and the stimulated lymphocytes of the vaccines is probably complex. While not wishing to be bound by theory, it is envisaged that the cytokine expressed by the genetically altered cell is effective in recruitment, activation, or stimulating the interaction of host immune cells. The recruited and stimulated host cells may then respond to atypical (but otherwise less immunogenic) components in the vicinity, including any antigens present upon or within or secreted by the autologous tumor cells. The cytokine-producing cells may also play a role in promoting antigen processing and presentation, or provide co-stimulation for antigen being presented.
  • the cytokine-producing cells may also provide specific immunostimulation in cis for the tumor antigens expressed by the cytokine-producing cells. Accordingly, in certain preferred embodiments of this application, the cells used to generate the cytokine-producing cells are derived from a tumor type that is closely related to that of the subject being treated.
  • An immunological response resulting from administration of the vaccine may comprise both humoral and cellular components, but a cellular response is especially preferred.
  • Cellular immunity either cytotoxic lymphocytes, or helper-inducer cells recruiting other effector mechanisms
  • the presence of an immunological response may be monitored by standard immunological techniques.
  • a primary objective is an improvement in the clinical condition of the patient.
  • Clinical outcome is therefore a superior assay for the effectiveness of the compositions and methods of this invention when directed towards cancer treatment.
  • the present invention is superior to strategies used or suggested previously.
  • Advantages of the vaccine compositions of this invention include the following:
  • the vaccines improve the clinical condition or prognosis of human cancer patients, even though tumor cells residing in cancer patients are apparently poorly immunogenic on their own.
  • the strategy is aimed at generating a long-lived systemic immune response, and may therefore be effective not only against the primary tumor, but also against metastatic cells sharing tumor antigen with the primary tumor.
  • the protocol may be performed with minimally invasive procedures.
  • the vaccine compositions are preferably administered at a site distant from the tumor. Subcutaneous routes of administration are preferred.
  • a particularly beneficial feature of certain vaccines of the invention is the fact that vaccine compositions can be tailored to particular cancer types, clinical features, and even to an individual subject, as necessary.
  • a vaccine for the first tumor type is prepared by mixing cells genetically altered to express IL-4, and cells genetically altered to express GM-CSF with tumor-associated antigen from the subject to be treated.
  • a vaccine for the second type is prepared by mixing cells expressing IL-4 with cells expressing TNF- ⁇ and tumor- associated antigen.
  • one tumor type can respond slightly better to IL-4 and GM-CSF at a 2:1 molar ratio, while another can respond slightly better to IL-4 and GM-CSF at a 1 :2 molar ratio.
  • the cells can be mixed together in a suitable proportion to provide a molar ratio suited for the tumor being treated, in a third example, the ratio of cytokine-secreting cells to tumor antigen or autologous tumor cells is also adjusted according to the tumor being treated. Fine-tuning of the components of the vaccine can be done according to previous observations on the effectiveness of the vaccine in various clinical settings, in the context of features of the tumor in the subject being treated.
  • a principal feature is the type of cancer being treated, with optional secondary features including, but not limited to, the location of the tumor in the body, staging, invasiveness, morphological features, results of biochemical tests for antigen expression or genetic alteration conducted on patient's serum or a tumor sample, clinical features, and response to previous therapy.
  • Fine-tuning the vaccine is an added benefit of the nature of the composition, but is not required.
  • Many combinations of cytokine-producing cells and autologous tumor cells are effective, and are encompassed by the claimed invention. Effective combinations are readily determined by a practitioner of ordinary skill in the art by following the guidelines provided herein.
  • the availability of a plurality of allogeneic cytokine-producing cells for admixing into a vaccine considerably facilitates not only the adjustment of the composition in accordance with previous experience, but also the initial testing of various potential combinations.
  • inventions of this invention involve genetically altering a patient's own tumor cells so as to produce a stimulatory cytokine, especially a membrane-bound cytokine.
  • a stimulatory cytokine especially a membrane-bound cytokine.
  • the same cell thus provides both the cytokine and the tumor antigen.
  • These cells can be administered alone, or are optionally mixed with allogeneic cells producing additional cytokines in order to increase stimulation, again providing an opportunity to fine-tune the relative amount and mixture of cytokines provided.
  • vacun refers to a compound or composition, as appropriate, that is capable of conferring a degree of specific immunity when administered to a human or animal subject.
  • a “cellular vaccine” or “cellular immunogen” refers to a composition comprising at least one cell population, which is optionally inactivated, as an active ingredient.
  • the vaccines, immunogens, and immunogenic compositions of this invention are active vaccines, which means that they are capable of stimulating a specific immunological response (such as an anti-tumor antigen or anti-cancer cell response) mediated at least in part by the immune system of the host individual.
  • the immunological response may comprise antibody, immunoreactive cells (such as helper/inducer or cytotoxic cells), or any combination thereof, and is preferably directed towards an antigen that is present on a tumor towards which the treatment is directed.
  • the response may be elicited or restimulated in a subject by administration of either single or multiple doses. None further is required of a composition in order for it to qualify as a vaccine, unless otherwise specified.
  • a compound or composition is "immunogenic” if it is capable of either: a) generating an immune response against an antigen (such as a tumor antigen) in a naive individual; or b) reconstituting, boosting, or maintaining an immune response in an individual beyond what would occur if the compound or composition was not administered.
  • a composition is immunogenic if it is capable of attaining either of these criteria when administered in single or multiple doses.
  • Stimulating an immune or immunological response refers to administration of a compound or composition that initiates, boosts, or maintains the capacity for the host's immune system to react to a target substance, such as a foreign molecule, an allogeneic cell, or a tumor cell, at a level higher than would otherwise occur.
  • Stimulating a "primary" immune response refers herein to eliciting specific immune reactivity in a subject In which previous reactivity was not detected; for example, due to lack of exposure to the target antigen, refractoriness to the target, or immune suppression.
  • Stimulating a "secondary" response refers to the reinitiation, boosting, or maintenance of reactivity in a subject in whom previous reactivity was detected; for example, due to natural immunity, spontaneous immunization, or treatment using one or several compositions or procedures.
  • a "cell line” or “cell culture” denotes higher eukaryotic cells grown or maintained in vitro.
  • Progeny of a cell include any cells formed by cell division of a progenitor, either in vivo or in vitro. It is understood that the descendants of a cell may not be completely identical (either morphologically, genotypically, or phenotypically) to the parent cell.
  • Inactivation of a cell is used herein to indicate that the cell has been rendered incapable of cell division to form progeny.
  • the cell may nonetheless be capable of response to stimulus, or biosynthesis and or secretion of cell products such as cytokines.
  • Methods of inactivation are known in the art. Preferred methods of inactivation are treatment with toxins such as mitomycin C, or irradiation. Cells that have been fixed or permeabilized and are incapable of division are also examples of inactivated cells.
  • Genetic alteration refers to a process wherein a genetic element is introduced into a cell other than by mitosis or meiosis.
  • the element may be heterologous to the cell, or it may be an additional copy or improved version of an element already present in the cell.
  • Genetic alteration may be effected, for example, by transducing a cell with a recombinant plasmid or other polynucleotide through any process known in the art, such as electroporation, calcium phosphate precipitation, or contacting with a polynucleotide-liposome complex. Genetic alteration may also be effected, for example, by transduction or infection with a DNA or RNA virus or viral vector.
  • the genetic alteration is inheritable by progeny of the cell, but this is not necessarily required for the practice of this invention, particularly when altered cells are used in a pharmaceutical composition without further proliferation.
  • a cell is described as "genetically altered” if it has itself been subjected to genetic alteration, or if it is the progeny of a cell that was subjected to genetic alteration, providing it retains the alteration of the progenitor.
  • a cell is said to be "inheritably altered” if a genetic alteration is present which is inheritable by progeny of the altered cell.
  • tumor cell or “cancer cell”, used either in the singular or plural form, refer to cells that have undergone a malignant transformation that makes them pathological to the host organism.
  • Primary cancer cells that is, cells obtained from near the site of malignant transformation
  • the definition of a cancer cell includes not only a primary cancer cell, but any cell derived from a cancer cell ancestor. This includes metastasized cancer cells, and in vitro cultures and cell lines derived from cancer cells.
  • tumor-associated antigen or "TAA” is used herein to refer to a molecule or complex which is expressed at a higher frequency or density by tumor cells than by non-tumor cells of the same tissue type.
  • Tumor-associated antigens may be antigens not normally expressed by the host; they may be mutated, truncated, misfolded, or otherwise abnormal manifestations of molecules normally expressed by the host; they may be identical to molecules normally expressed but expressed at abnormally high levels; or they may be expressed in a context or milieu that is abnormal.
  • Tumor-associated antigens may be, for example, proteins or protein fragments, complex carbohydrates, gangliosides, haptens, nucleic acids, or any combination of these or other biological molecules. Knowledge of the existence or characteristics of a particular tumor-associated antigen is not necessary for the practice of the invention.
  • a protein such as a cytokine is referred to as a "transmembrane" protein if it normally remains stably associated in the membrane of the cell in which it is produced.
  • the term does not require any particular configuration of the protein in the lipid bilayer of the membrane.
  • treatment refers to clinical intervention in an attempt to alter the natural course of the individual or cell being treated, and may be performed either for prophylaxis or during the course of clinical pathology. Desirable effects include preventing occurrence or recurrence of disease, alleviation of symptoms, diminishment of any direct or indirect pathological consequences of the disease, preventing metastasis, lowering the rate of disease progression, amelioration or palliation of the disease state, and remission or improved prognosis.
  • the "pathology" associated with a disease condition is anything that compromises the well- being, normal physiology, or quality of life of the affected individual. This may involve (but is not limited to) destructive invasion of affected tissues into previously unaffected areas, growth at the expense of normal tissue function, irregular or suppressed biological activity, aggravation or suppression of an inflammatory or immunological response, increased susceptibility to other pathogenic organisms or agents, and undesirable clinical symptoms such as pain, fever, nausea, fatigue, mood alterations, and such other features as may be determined by an attending physician.
  • an "effective amount” is an amount sufficient to effect a beneficial or desired clinical result, particularly the generation of an immune response, or noticeable improvement in clinical condition.
  • An immunogenic amount is an amount sufficient in the subject group being treated (either diseased or not) to elicit an immunological response, which may comprise either a humoral response, a cellular response, or both.
  • an effective amount is amount sufficient to palliate, ameliorate, stabilize, reverse or slow progression of the disease, or otherwise reduce pathological consequences of the disease.
  • An effective amount may be given in single or divided doses. Preferred quantities and cell ratios for use in an effective amount are given elsewhere in this disclosure.
  • An “individual” or “subject” is a vertebrate, preferably a mammal, more preferably a human.
  • Non- human mammals include, but are not limited to, farm animals, sport animals, and pets.
  • the cellular vaccines of this invention are typically assembled by preparing each cell population or equivalent thereof in an appropriate fashion, combining the components, and optionally coculturing or storing cell mixtures before administration to a subject.
  • Tumor-associated antigen The source of tumor-associated antigen is most usually a tumor cell or cell line that is close in phenotype to that for which the patient is being treated. Tumors from the same tissue type and with similar histoiogical characteristics tend to share tumor-associated antigens. While the complete spectrum of antigens may vary between individual tumors, there is a substantial probability that at least one will be shared.
  • the tumor cells are histocompatible with the subject to be treated. Generally, when it is possible to obtain tumor cells in advance from the subject to be treated, these cells are preferred as more likely to bear a full complement of relevant tumor-associated antigens. Circulating tumors such as leukemias and lymphomas may be readily sampled from peripheral blood.
  • tumor cells are generally sampled by a surgical procedure, including but not limited to biopsy, or surgical resection or debulking. Tumor ceils may also be collected from metastatic sites. Solid tumors may be dissociated into separate cells by physical manipulation optionally combined with enzymatic treatment with such proteases as collagenase and the like. The cells are then transferred into fresh medium. Cells may be stored until further use, for example, by freezing in liquid N 2 . Optionally, and especially when the original tumor mass is small, it is preferable to expand the tumor cell population to ensure an adequate supply. Cells are cultured in a growth medium suitable for propagation, optionally supplemented with growth factors.
  • a stable cell population comprising features of the tumor cells is obtained without further transformation, although transformation is permissible where required.
  • the cell population can be optionally cloned to enhance its stability or refine its characteristics, although this is generally not necessary.
  • Conditions for reliably establishing short-term cultures and obtaining at least 10 s cells from a variety of tumor types is described in Dillman et al. (1993) J. Immunother. 14:65-69. If possible, the original tumor cell preparation is used without proliferation, since it is possible that a critical tumor antigen will be lost through the proliferative process.
  • Cancer cells or cell lines obtained as described may be combined directly with the other components of the vaccine. However, it is preferable to inactivate the cancer cells to prevent further proliferation once administered to the subject. Any physical, chemical, or biological means of inactivation may be used, including but not limited to irradiation (preferably with at least about 5,000 cGy, more preferably at least about 10,000 cGy, even more preferably at least about 20,000 cGy); or treatment with mitomycin-C (preferably at least 10 ⁇ g/mL; more preferably at least about 50 ⁇ g/mL).
  • irradiation preferably with at least about 5,000 cGy, more preferably at least about 10,000 cGy, even more preferably at least about 20,000 cGy
  • mitomycin-C preferably at least 10 ⁇ g/mL; more preferably at least about 50 ⁇ g/mL.
  • Cancer cells for use as a tumor antigen source may alternatively be fixed with such agents as glutaraldehyde, paraformaldehyde, or formalin. They may also be in an ionic or non-ionic detergent, such as deoxycholate or octyl glucoside, or treated, for example, using Vaccinia Virus or Newcastle Disease Virus. If desired, solubilized cell suspensions may be clarified or subject to any of a number of standard biochemical separation procedures to enrich or isolate particular tumor-associated antigens or plurality of antigens. Preferably, tumor antigen associated with the outer membrane of tumor cells, or a plurality of tumor associated antigens is enriched.
  • the degree of enrichment may be 10-fold or more preferably 100- fold over that of a whole-cell lysate.
  • Isolated antigens, recombinant antigens, or mixtures thereof may also be used.
  • the tumor antigen preparation is depleted of the agent used to treat it; for example, by centrifuging and washing the fixed cells, or dialysis of the solubilized suspension. Preparation of tumor antigen, particularly beyond inactivation of the source tumor cell, may be viewed as optional and unnecessary for the practice of the embodiments of the invention, unless specifically required.
  • Cytokine-producing cells also comprise a second cell population, of which at least a portion are cells producing a soluble or membrane-bound factor capable of potentiating an immunological response against the tumor-associated antigen or autologous cell of the vaccine.
  • cytokine or chemokine may be used for this purpose, especially those that have amongst their biological activities one or more of the following: a) the ability to recruit, enhance proliferation, enhance cytokine secretion by, or otherwise activate cells of the lymphocyte lineage; b) the ability to enhance uptake into antigen-presenting cells, the subsequent processing and display of antigen, or the concurrent production of cytokines; c) the ability to enhance display of histocompatibility antigens; d) the ability to enhance display of tumor-associated antigen by tumor cells; e) the ability to recruit other cells or soluble components that may participate in inflammation; or f) any other effect that results in a localized immune stimulation.
  • the effect or effects can be measured in vitro according to standard immunological techniques, but should come into play in sufficient proximity to the tumor-associated antigen to provide an immunostimulatory effect that is at least partly specific for the antigen.
  • a cytokine capable of mediating a plurality of the above-listed effects are particularly preferred.
  • cytokines include, but are not limited to, tumor necrosis factors, exemplified in TNF- ⁇ ; interleukins, exemplified in IL-2, IL-4 ; IL-6, IL-7, and IL-10; interferons, exemplified in IFN- ⁇ and IFN- ⁇ ; hematopoetic factors; and colony stimulating factors, exemplified in GM-CSF and M-CSF.
  • Different cytokines are more effective in certan cancers than others, and may vary between different cancers and patient groups.
  • TNF and IL-2 are effective in cancers like adenocarcinoma in syngeneic animal vaccines, but less effective in ovarian or brain cancer, while M-CSF is especially potent in syngeneic animal vaccines for brain cancer.
  • GM-CSF and M-CSF are especially preferred because of their important role in the maturation and function of specialized antigen- presenting cells. This is believed to be important because many tumor cells, such as those of epithelial origin, do not express detectable MHC class II molecules.
  • IL-4 is also preferred, as a pluripotent cytokine endowed of a broad range of stimulating activities on both B and T lymphocytes, as well as on hematopoietic cells. Its roles include the recruitment and activation of CD4+ antigen-presenting cells, as well as induction of cytotoxic T lymphocytes.
  • TNF- ⁇ is a fourth cytokine which is preferred, in part because of its broad range of effects in the immune and inflammatory responses.
  • cytokine combinations the combination of GM-CSF and IL-4 is especially preferred.
  • Embodiments of the invention with both of these cytokines are vaccines comprising autologous cancer cells and allogeneic cells genetically altered to express both GM-CSF and IL-4, or even more preferably vaccines comprising autologous cancer cells, allogeneic cells genetically altered to express GM-CSF, and different allogeneic cells genetically altered to express IL-4.
  • cytokine produced by the cells used in this invention may be secreted from the cells, or present on the outer membrane of the cells. Where the cytokine has a local immunostimulatory effect, it can be preferable that it be primarily attached to the cell membrane to keep it in the vicinity of bystander tumor antigen comprised in the vaccine. Where the cytokine has a recruitment effect, it can be preferable that it be primarily secreted. As a third option, the cytokine can be synthesized by the cell in both membrane-associated and secreted form. As illustrated in Example 5, the preferable form of a particular cytokine can be determined by simple side-by-side comparison.
  • M-CSF may be used in either form, and in certain vaccine compositions may be more effective in the membrane-associated form. While not wishing to be bound by theory, it is possible that the membrane-associated form creates a bridge between the allogeneic tumor cell and antigen-presenting cells or responder lymphocytes; in effect a forced antigen presentation. M-CSF may have an advantage over many other cell-surface receptor ligands in this regard, because of an ability to simultaneously bridge cells, and provide a stimulatory signal through its cytokine effect. Other cytokines that have both of these properties may be particulariy effective in tumor vaccine compositions, and cells of the vaccine are preferably altered to express them in the membrane- associated form.
  • cytokines have potent immunostimulatory activity but do not occur naturally in a membrane-bound form
  • Allogeneic cells are genetically altered with a vector comprising a cytokine encoding region and a transmembrane region in the same open reading frame, the transmembrane region being either upstream or downstream from the cytokine encoding region and optionally separated by an in-frame spacer region.
  • the transmembrane region may be modeled on other known transmembrane proteins, or be an artificially designed polypeptide segment with a high degree of lipophillicity.
  • IL-4 The protein and DNA encoding sequences of human IL-4 and TNF- ⁇ are known, and vectors comprising encoding sequences are available.
  • IL-4 sequences and vectors see US Patent No. 5,017,691 and EP 230107.
  • Genetically altered CHO cells are described in US 5,034,133.
  • the use of IL-4 (either as the isolated recombinant or in a genetically altered cell) in treating solid tumors are described in US 5,382,427.
  • TNF polypeptides, encoding sequences, vectors, and genetically altered host cells are described in US 5,288,852, EP 155549, and US 4,879,226.
  • Variants of TNF which may also be used in this invention, are described in US 4,677,063.
  • Compositions comprising TNF- ⁇ and interferon are taught in EP 131789. Synergism of TNF and IL-4 in the inhibition of cancer cell growth is described in WO 92/05805.
  • cytokines and cytokine-encoding polynucleotides are described further in the example section below, or may be readily obtained through publicly available biological deposits, or may be prepared according to publicly available disclosures.
  • the cell used to produce the cytokine for the vaccines of this invention is obtained from a different donor than the subject being treated.
  • the donor is of the same species as the subject. Consequently, except in unusual circumstances, the cell is allogeneic to the subject.
  • this definition is satisfied by at least one allelic difference at the amino acid level in a major histocompatibility complex (MHC) Class I or Class II antigen between the cytokine-secreting cell and the subject to be treated.
  • MHC major histocompatibility complex
  • a plurality of differences will be present in both Class I and Class II antigens will be present, and these differences will be recognizable either in an antibody- mediated tissue typing cytotoxicity test, or a mixed lymphocyte reaction between the cytokine-secreting cells and lymphocytes from the subject to be treated.
  • Differences in Class I antigens are generally more relevant, since most cell types do not express Class II.
  • the number of MHC differences is irrelevant, as long as the cells are allogeneic.
  • MHC differences, particularly Class I differences are preferred as a potentiating factor in immune stimulation. In this context, at least 2 differences are preferred; at least about 3 differences are even more preferred.
  • differences are especially preferred in the HLA-A -B and -C loci.
  • the cell will also generally be a cell that can be maintained in culture for a large number of replications and genetically desired, if necessary.
  • the cell will be a neoplastic cell, a malignantly transformed cell, or the progeny of such cells.
  • Cells may be deliberately transformed into long-lived cell lines by any method, including, but not limited to, fusion with other cell lines, treatment with a chemical carcinogen, or infection with a suitable virus such as Epstein-Ban- virus or oncogenic virus. More usually, the cell will be the progeny of a primary tumor occurring in the appropriate species, that has been established in ex vivo culture.
  • tumor cells are used as the allogeneic cytokine- expressing cell, wherein the tumor is a different type from that of the subject being treated. This may provide additional bystander effect by providing a plurality of novel immunogenic antigens.
  • the tumor cell is preferably selected so as to comprise a large proportion or particularly high level of an immunogenic epitope.
  • tumor cells are used from a tumor type similar or identical to that of the subject in terms of its tissue source, morphological characteristics, surface antigen expression, clinical manifestations, and any other relevant criteria.
  • a tumor-associated antigen or a plurality of such antigens may be overexpressed both on the cytokine-expressing tumor cell of the vaccine, and tumor cells in the subject being treated.
  • Shared tumor-associated antigens may permit cis stimulation of therapeutically relevant immune reactivity.
  • Cells may be stimulated to secrete cytokines at suitable levels according to any method known in the art, including, but not limited to, coculturing with other cells or treatment of the cells with the same or different cytokines.
  • the cells are genetically altered so as to synthesize the cytokine at an elevated level. It is recognized that certain cells such as lymphocytes and macrophages may already produce detectable levels of certain cytokines. "Elevated levels" of expression that occur as a result of genetic alteration exceed levels observed in cells not genetically altered or otherwise manipulated in the same way, but that are otherwise similar.
  • Genetic alteration may be effected by any method known in the art.
  • an encoding sequence for the desired cytokine is operatively linked to a heterologous promoter that will be constitutively or inducibly active in the target cell, along with other controlling elements and a poly-A sequence necessary for transcription and translation of the protein.
  • the expression cassette thus composed is introduced into the cell by any method known in the art, such as calcium-phosphate precipitation, insertion using cationic liposomes, or using a viral vector tropic for the cells.
  • Methods of genetic alteration are described in the patent publications cited in relation to some of the cytokines listed earlier.
  • One preferred method is the use of adenovirus vectors. For example see, Graf et al. (1995) Soc.
  • adenoviral recombinant expression vectors prepared by genetic engineering of commercially available plasmids such as those supplied by Microbix, Canada. Suitable infection conditions and multiplicities of infection (MOI) may be determined in preliminary experiments using a reporter gene such as ⁇ -galactosidase, and then used for cytokine transfer (Kammersheidt et al.).
  • MOI multiplicities of infection
  • An advantage of using a viral vector is that the vector may first be replicated, and then an entire population of cells may be infected and altered. Accordingly, genetically altered cytokine secreting cells may be established as a cell line, or a freshly obtained cell isolate or cell culture is altered de novo just prior to use in a vaccine of this invention.
  • preparation of the vaccine would additionally comprise the step of transducing a population of cells allogeneic to the intended recipient with a vector comprising an encoding region for a particular cytokine of interest.
  • Transduction using adenoviral vectors and the like is especially preferred when it is desirable to achieve very high levels of cytokine expression by the genetically altered cells.
  • An even more preferred preferred method of genetic alteration is the use of a retroviral vector comprising a suitable expression cassette.
  • a retroviral vector comprising a suitable expression cassette.
  • Non-limiting illustrations are provided in the example section below, and may also be found in Santin 1995b, 1995c & 1996.
  • this approach may not achieve quite the same level of expression available in some other systems, a particular benefit is that the genetically altered cell is highly stable in the amount of cytokine produced.
  • the level of expression can be characterized exactly, and relied upon as a reagent composition through multiple passages and different storage conditions, in addition, genetically altered cells may be prepared which are capable of producing cytokine even after inactivation by irradiation.
  • the levels of cytokine can be adjusted upwards, where necessary, simply by increasing the number of genetically altered cells in the dosage.
  • tumor lines can be created using the LXSN retroviral vector that produce cytokine at a stable and reliable level through multiple cell divisions.
  • Levels of cytokine secretion may be determined by immunoassay or bioassay. Cells with these properties are generally preferred, since they can be biochemically characterized and clinically tested in advance. Accordingly, it is generally preferable to clone genetically-altered cells and select high-producer clones.
  • Supernatant of 1 x 10 6 cells/ml cultured in 10 ml medium for 48 hours at 37°C may contain the following preferred levels of cytokines: IL-4, IL-2, TNF- ⁇ , the secreted form of M-CSF, or most other cytokines of about the same molecular mass are preferably produced at least 500, more preferably at least about 1000, even more preferably at least about 2000 pg/mL.
  • GM-CSF is preferably produced at least 100, more preferably at least about 200, even more preferably at least about 400 pg/mL.
  • Membrane-associated cytokines, where the majority produced by the cell should be biosynthesized at a rate preferably 25%, more preferably 50%, and even more preferably 100% of the range obtained for high-level producers of the secreted form.
  • cytokine-producing cells It is also highly desirable that a substantial proportion of cytokine-producing cells remain viable and be able to secrete the cytokine of interest after inactivation to prevent proliferation. Preferred treatments halt development of at least about 95%, or more preferably at least about 99% of the cells.
  • the levels required are 2,500 rads, more preferably 5,000 rads, even more preferably 10,000 rads, and still more preferably 20,000 rads.
  • the cells preferably produce cytokine 2 days after irradiation at a rate that is at least about 10%, more preferably at least about 20%, more preferably at least about 50%, still more preferably at least about 100% of the pre-irradiated level, when standardized for viable cell number
  • the cytokine producing cells can also be modified in other ways, if desired In particular, they can be genetically altered to express additional proteins, including but not limited to additional cytokines, additional tumor-associated antigens, or additional cell-surface markers, such as adhesion molecules like ICAM-1 , histocompatibility antigens, or costimulation markers like the B-cell marker B7-1 or B7-2 Alternatively or in addition, they may be modified so as to produce multiple copies of the same or similar proteins, including multiple copies of the same cytokine in membrane-associated or secreted form, or both Transduction for expression of multiple proteins or multiple protein copies may be conducted concurrently or sequentially More than one genetic alteration may be viewed as optional, and is not required for the practice of this invention
  • the vaccines of this invention compnse autologous tumor cells (or an alternative source of tumor-associated antigen) and at least one cell allogeneic to the host that produces a cytokine of therapeutic importance
  • certain embodiments of this invention compnse a plurality of different allogeneic cells, each of which produces a different cytokine
  • the cytokines produced by each different cell are amongst those listed herein
  • cell components of the vaccine are prepared and combined in bulk at the desired rat ⁇ o(s) to provide sufficient cells for the entire course of treatment envisioned
  • the mixture is stored frozen, and aliquots are thawed senatim for each administration This ensures a consistency amongst the cell ratio
  • Vanous cell populations may be collected in advance, and cultured or cryopreserved as necessary to ensure sufficient numbers of cells for administration and testing throughout the planned protocol
  • Non-active biological components are preferably denved from the same species, and are even more preferably obtained previously from the subject to be treated
  • the vaccine compositions of this invention may optionally include additional active components working independently or in concert with the tumor associated antigen and activated allogeneic cells
  • additional active components include but are not limited to isolated or recombinant cytokines, particularly those explicitly referred to in this disclosure, adjuvants, and other cell types.
  • Preferred additional components are bacillus of the M. bovis strain Calmette-Guerin (BCG) or extracts thereof, or alternatively, the A60 mycobacterial antigen complex (Maes et al.).
  • BCG M. bovis strain Calmette-Guerin
  • a vaccine composition of this invention is deemed "suitable" for administration to a human if reasonable and acceptable standards have been taken to ensure that the vaccine itself will not confer additional major pathology on the recipient.
  • compositions should be reasonably free of: a) unrelated and pathological infectious or chemical agents, particulariy from the donor of the allogeneic lymphocytes; b) undesirable growths as may be generated or propagated in tissue culture, such as bacteria or bacterial toxins, mycobacteria, and viruses; c) unacceptable levels of oncogenic agents or aggressively growing cancer cells not originating from the subject being treated; and d) components liable to initiate or effect an undesirable immune reaction, particularly anaphylactic shock.
  • tissue culture such as bacteria or bacterial toxins, mycobacteria, and viruses
  • unacceptable levels of oncogenic agents or aggressively growing cancer cells not originating from the subject being treated and d) components liable to initiate or effect an undesirable immune reaction, particularly anaphylactic shock.
  • kits of this invention can comprise various components of a cellular vaccine or pharmaceutical composition therefor provided in separate containers.
  • the containers may separately contain cells or antigens such that when mixed together constitute a vaccine of this invention in unit dosage or multiple dosage form.
  • Preferred kits comprise in separate containers: cytokine-secreting allogeneic cells; and tumor-associated antigen from the human, particularly primary tumor cells from the human, or progeny thereof.
  • the kits may comprise a cell or cell mixture in one container and a pharmaceutical excipient in another container.
  • kits of this nature comprise cytokine- secreting allogeneic cells in one container, and an excipient in another.
  • compositions and kits of this invention typically include instructions for storage, preparation and administration of the composition.
  • compositions of this invention may be administered to subjects, especially but not limited to human subjects. They are particulariy useful for eliciting an immune response against a tumor- associated antigen, or for treating cancer.
  • the immune response may include either humoral or cellular components, or both.
  • Humoral immunity may be determined by a standard immunoassay for antibody levels in a serum sample from the treated individual. Since cellular immunity is thought to play an important role in immune surveillance of cancer, generating a cellular immune response is frequently a particular objective of treatment.
  • a "cellular immune response" is a response that involves T cells, and can be observed in vitro or in vivo.
  • a general cellular immune response may be measured as the T cell proliferative activity in cells (particularly PBL) sampled from the subject after vaccine administration.
  • Inactivated tumor cells preferably derived from the subject, are used as stimulators.
  • a non-specific mitogen such as PHA serves as a positive control; incubation with an unrelated stimulator cell serves as a negative control.
  • [ 3 H]thymidine incorporation is measured.
  • determination of the subset of T cells that is proliferating can be performed using flow cytometry.
  • T cell cytotoxicity (CTL) can also be measured.
  • T cell population from the subject are used as effectors in a standard 51 Cr release assay.
  • Tumor cells are radiolabeled as targets with about 200 ⁇ Ci of Na 2 51 Cr0 4 for 60 minutes at 37°C, followed by washing.
  • T cells and target cells (-1 * 10 well) are then combined at various effector-to-target ratios in 96-well, U- bottom plates. The plates are centrifuged at 100 x g for 5 minutes to initiate cell contact, and are incubated for 4-16 hours at 37"C with 5% C0 2 . Release of 51 Cr is determined in the supernatant, and compared with targets incubated in the absence of T cells (negative control) or with 0.1% TRITONTM X- 100 (positive control).
  • Another purpose of administering the vaccine is for treatment of a neoplastic disease, particulariy cancer.
  • Beneficial effect of the vaccine will generally be at least in part immune mediated, although an immune response need not be positively demonstrated in order for the compositions and treatment methods to fall within the scope of this invention, unless otherwise required.
  • compositions of this invention may be used for administration to both human and non-human vertebrates. They provide advantages over previously available compositions particularly in outbred populations, and particulariy in spontaneous tumors. Veterinary applications are contemplated within the scope of the invention.
  • Cellular vaccines are designed for use in human subjects, and are especially suitable for human treatment.
  • the vaccines may be given to any human subject with the discretion of the managing physician.
  • the subject will either have cancer, or be at substantial risk of developing cancer.
  • Typical human subjects for therapy comprise two groups, which may be distinguished by clinical criteria. Patients with "advanced disease” or "high tumor burden” are those who bear a clinically measurable tumor.
  • a clinically measurable tumor is one that can be detected on the basis of tumor mass (e.g., by palpation, MRI, CAT scan, X-ray, or radioscintigraphy; positive biochemical or histopathological markers on their own are insufficient to identify this population).
  • a vaccine composition embodied in this invention is administered to patients with advanced disease with the objective of palliating their condition. Ideally, reduction in tumor mass occurs as a result, but any clinical improvement constitutes a benefit. Clinical improvement includes decreased risk or rate of progression or reduction in pathological consequences of the tumor.
  • a second group of suitable subjects is known in the art as the "adjuvant group". These are individuals who have had a history of cancer, but have been responsive to another mode of therapy.
  • the prior therapy may have included (but is not restricted to) surgical resection, radiotherapy, traditional chemotherapy, and other modes of immunotherapy.
  • these individuals have no clinically measurable tumor by the definition given above.
  • they are suspected of being at risk for recurrence or progression of the disease, either near the original tumor site, or by metastases.
  • the adjuvant group may be further subdivided into high-risk and low-risk individuals. The subdivision is made on the basis of features observed before or after the initial treatment. These features are known in the clinical arts, and are suitably defined for each different cancer.
  • a vaccine composition embodied in this invention is administered to patients in the adjuvant group in order to elicit an anti-cancer response primarily as a prophylactic measure against recurrence.
  • the composition delays recurrence of the cancer, or more preferably, reduces the risk of recurrence (i.e., improves the cure rate).
  • Such parameters may be determined in comparison with other patient populations and other modes of therapy.
  • crossovers between these two patient groups occur, and the vaccine compositions of this invention may be administered at any time that is appropriate.
  • tumors that can be treated by the compositions and methods of this invention include the following: pancreatic tumors, such as pancreatic ductal adenocarinomas; lung tumors, such as small and large cell adenocarcinomas, squamous cell carcinoma, and brionchoalveolar carcinoma; colon tumors, such as epithelial adenocarcinoma and their metastases; and liver tumors, such as hepatoma and cholangiocarcinoma.
  • pancreatic tumors such as pancreatic ductal adenocarinomas
  • lung tumors such as small and large cell adenocarcinomas, squamous cell carcinoma, and brionchoalveolar carcinoma
  • colon tumors such as epithelial adenocarcinoma and their metastases
  • liver tumors such as hepatoma and cholangiocarcinoma.
  • breast tumors such as ductal and lobular adenocarcinoma; gynecologic tumors, such as squamous and adenocarcinoma of the uterine cervix, and uterine and ovarian epithelial adenocarcinoma; prostate tumors, such as prostatic adenocarcinoma; bladder tumors, such as transitional squamous cell carcinoma; tumors of the RES system, such as nodular or diffuse B or T cell lymphoma, plasmacytoma, and acute or chronic leukemia; skin tumors, such as malignant melanoma; and soft tissue tumors, such as soft tissue sarcoma and leiomyosarcoma.
  • gynecologic tumors such as squamous and adenocarcinoma of the uterine cervix, and uterine and ovarian epithelial adenocarcinoma
  • prostate tumors such as prostatic
  • brain tumor such as astrocytoma, oligodendroglioma, ependymoma, medulloblastomas, and primitive neural ectodermal tumor, included in this category are gliomas, glioblastomas, and gliosarcomas.
  • ovarian carcinoma Also of especial interest is ovarian carcinoma.
  • the immune status of the individual may be any of the following:
  • the individual may be immunologically naive with respect to certain tumor-associated antigens present in the composition, in which case the compositions may be given to initiate or promote the maturation of an anti-tumor response.
  • the individual may not be currently expressing anti-tumor immunity, but can have immunological memory, particularly T cell memory relating to a tumor-associated antigen comprised in the vaccine, in which case the compositions can be given to stimulate a memory response.
  • the individual can also have active immunity (either humoral or cellular immunity, or both) to a tumor- associated antigen comprised in the vaccine, in which case the compositions may be given to maintain, boost, or maturate the response, or recruit other arms of the immune system
  • active immunity either humoral or cellular immunity, or both
  • the subject should be at least partly immunocompetent, so as to minimize a graft versus host reaction of pathological scope
  • cancer patients often show a degree of immunosuppression, and this does not necessanly prevent the use of the compositions of the invention, as long as the compositions may be given safely and effectively Immunocompetence in the subject may be of host o ⁇ gin, or may be provided by way of a concurrent adoptive transfer treatment
  • compositions of this invention may be administered to the subject at any site, particularly a site that is "distal” to or “distant” from the pnmary tumor
  • the route of administration of a pharmaceutical composition may be parenteral, intramuscular, subcutaneous, intradermal, intrape ⁇ toneal, intranasal, intravenous (including via an indwelling catheter), via an afferent lymph vessel, or by another route that is suitable in view of the tumor being treated and the subject's condition
  • relatively non-invasive methods are preferred, particularly subcutaneous routes
  • the dose given is an amount "effective" in bnnging about a desired therapeutic response, be it the stimulation of an immune response, or the treatment of cancer as defined elsewhere in this disclosure
  • effective doses typically fall within the range of about 10 s to 10 10 cells, including allogeneic cytokine-producing cells, and autologous tumor cells or an equivalent thereof
  • between about 10 ⁇ to 10 ⁇ of allogeneic cytokine-producing cells and about 10 s to 10 9 autologous tumor cells are used; more preferably between about 2 * 10 6 and 5 * 10 8 cells in each cell population is used; more preferably between about 5 * 10 6 and 2 * 10 8 cells in each population are used, even more preferably between about 1 « 10 7 and 1 » 10 8 cells in each population are used
  • the vanous components of the cellular vaccine are present in an "effective combination", which means that there are sufficient amounts of each of the components for the vaccine to be effective This will depend not only on the absolute number of cells, but also on the ratio of the vanous components of the vaccine one to another Preferred ratios of total allogeneic cytokine-secreting cells to autologous tumor cells or equivalent are 100 1 to 1 100, more typically they are between about 25 1 and 1 25, even more preferably they are between about 10 * 1 and 1 10, still more preferably they are between about 3 1 and 1 3 Often more important than the actual number of cytokine-producing cells used is the biosynthetic capability of the cells, fewer cells being required where the biosynthetic capability is higher
  • the allogeneic cells in a dose of the vaccine are capable of synthesizing at least about 0 1 ng, more preferably at least about 0.5 ng, more preferably at least about 2 ng, even more preferably at least about 10 ng of the cytokine of interest during a 1 hour
  • ratios are chosen to give appropriate levels of biological activity; typically between 25:1 and 1 :25, more usually between 5:1 and 1 :5 on a molar basis. Determination of optimal cell dosage and ratios is a matter of routine determination, as described in the example section below, and within the skill of a practitioner of ordinary skill, in light of the instructions provided herein.
  • the number of ceils is between 10 s and 10 10 per dose; more preferably between about 4 « 10 ⁇ and 1 * 10 9 cells per dose; more preferably between about 1 10 7 and 4 * 10 8 cells per dose even more preferably between about 2 * 10 7 and 2 * 10 8 cells per dose.
  • compositions of this invention may be given following, preceding, in lieu of, or in combination with, other therapies relating to generating an immune response or treating cancer in the subject.
  • the subject may previously or concurrently be treated by chemotherapy, radiation therapy, and other forms of immunotherapy and adoptive transfer.
  • Example 7 describes the use of a vaccine of this invention in combination with such chemotherapeutic agents as Cisplatin, combination Cisplatin/Cyclophaphamide, Cisplatin/Cyclophosphamide/ Doxorobicin or Taxol.
  • chemotherapeutic agents as Cisplatin, combination Cisplatin/Cyclophaphamide, Cisplatin/Cyclophosphamide/ Doxorobicin or Taxol.
  • the subject may also have been administered another vaccine or other composition in order to stimulate an immune response.
  • Such alternative compositions may include tumor antigen vaccines, nucleic acid vaccines encoding tumor antigens, anti- idiotype vaccines, and other types of cellular vaccines, including cytoki ⁇ e-expressing tumor cell lines.
  • the subject will have previously been treated with an intra-tumor implant of stimulated allogeneic lymphocytes, such as is described in International Patent Application WO 96/29394.
  • Combination protocols wherein another mode of vaccination or other therapy preceding or following administration of an autologous tumor cell/allogeneic cytokine-secreting cell vaccine, are embodied in the present invention.
  • Timing of administration is within the judgment of the managing physician, and depends on the clinical condition of the patient, the objectives of treatment, and concurrent therapies also being administered.
  • an initiating dose is given, and the patient is monitored for either an immunological or clinical response, often both.
  • Suitable means of immunological monitoring include a one-way MLR using patient's PBL as responders and primary tumor cells as stimulators.
  • An immunological reaction may also be manifest by a delayed inflammatory response at the injection site.
  • Suitable means of monitoring the tumor are selected depending on the tumor type and characteristics, and may include magnetic resonance imaging (MRI), radioscintigraphy with a suitable imaging agent, monitoring of circulating tumor marker antigens, and the subject's clinical response.
  • MRI magnetic resonance imaging
  • An example of an appropriate clinical marker is serum CA-125 for the monitoring of advanced ovarian cancer. Hempling et al. (1993) J. Surg. Oncol. 54:38-44. Additional doses may be given as appropriate, typically on a monthly, semimonthly, or preferably a weekly basis, until the desired effect is achieved. Thereafter, and particularly when the immunological or clinical benefit appears to subside, additional booster or maintenance doses may be given as required.
  • This invention includes the cell lines listed in the Table below. These cell lines are provided and described for the convenience of the practitioner, and may be used, inter alia, for the preparation of certain vaccines of this invention, or for methods of treatment of this invention. None of the cell lines listed is required for the general practice of the invention, except in particular embodiments where a ceil line is explicitly required.
  • EXAMPLE 1 AN OVARIAN CANCER CELL LINE TRANSDUCED TO EXPRESS IL-4
  • a human ovarian cancer cell line was genetically altered to secrete IL-4, using a retroviral vector comprising an IL-4 encoding construct.
  • the cell line was stable, and capable of IL-4 biosynthesis even after an inactivating dose of radiation.
  • the cell line expressed MHC Class I and Her-2/neu antigens, but no MHC Class II antigens, ICAM-1, CA-125, or IL-4 receptors.
  • the human ovarian cell line UCI-107 was established from a previously untreated patient with a primary Stage III serous papillary adenocarcinoma of the ovary.
  • the UCI-101 and UCI-107 cell lines have been previously characterized (Gamboa-Vujicic et al. Submitted, Gynecol. Oncol.) and were kindly provided by Dr. Alberto Manetta (University of California, Irvine Medical Center).
  • CM complete media
  • RPMI 1640 Gibco Life Technologies
  • FBS fetal bovine serum
  • FBS Gemini Byproducts, Calabassas, CA
  • penicillin streptomycin sulfate Irvine Scientific, Santa Ana, CA
  • Retroviral vectors were constructed as follows: The pLXSN plasmid was kindly provided by Dr. A. Dusty Miller (Fred Hutchinso ⁇ Cancer Center, Seattle, WA). This plasmid, derived from a Maloney murine leukemia virus (MMLV) contains the neophosphotransferase gene whose constitutive expression is driven by the SV40 enhancer/promoter, the 5' retroviral LTR of the integrated vector drives the expression of an inserted gene.
  • the human IL-4 cDNA was obtained from ATCC in the Okayama and Berg pCD cloning vector, and was excised using BamHI restriction enzyme. Okayama et al. (1983) Moi. Cell. Biol. 3:228-289.
  • the cDNA was then cloned into the BamHI restriction site in the multiple cloning region of pLSXN. Proper orientation of the cDNA was determined by diagnostic restriction endonuclease digests. Once constructed, retroviral plasmid DNA was then purified by CsCI gradient density centrifugation.
  • LXSN/IL-4 Purified retroviral plasmid DNA
  • GP-E86 murine esotropic packaging cell line GP-E86 by the calcium phosphate method. Forty-eight-hour supernatant from these cells was then used to infect the murine amphotropic-packaging cell line, PA317.
  • the PA-317-packaging cell line was obtained from the ATCC and maintained in CM.
  • Transduced PA317 cells were selected by resistance to G418. Isolated clones were expanded, aliquoted, and frozen under liquid nitrogen in a master cell bank. The supernatant from a transduced PA317 clone, containing infectious, replication- incompetent retrovirus, was used to infect the human carcinoma cell lines.
  • human ovarian carcinoma cell lines were seeded in 100-mm tissue culture dishes at densities of 1 x 10 6 cells in 10 ml CM and incubated for 4 hr at 37°C, 5% C0 2 to allow adherence After incubation, the medium was aspirated and replaced with 5 ml of 2% polybrene in phosphate-buffered saline (PBS), (Ald ⁇ ch Chemical Co Inc , Milwaukee, Wl) After 30 mm at 37°C, 5% C0 2 , 10 ml of retroviral supernatant was added, and retroviral-mediated gene transfer was accomplished by overnight incubation Supematants were then aspirated and replaced with CM After an additional 48-hr incubation in CM at 37 9 C, 5% C0 2 , selection of transduced clones was accomplished by culture in CM containing 0 075% G418 (geneticin, Gibco Life Technologies) Clones were isolated after 14 days using ste ⁇ le 8 x 8 8 8
  • Cells were established in CM at a density of 0 5 x 10 s cells/10 ml in 100 mm tissue culture dishes Cell counts were conducted every 12, 24, 48, 72 and 96 hours, and the number of viable cells was determined using trypan blue exclusion Expe ⁇ ments were conducted to compare the growth of non-transduced (parental) and transduced tumor cell lines and to evaluate the level of cytokine production over time Supematants were collected and frozen at -20°C (for subsequent ELISA evaluation of cytokine levels) and culture dishes trypsmized to determine cell count and viability
  • IL-4 transductants were seeded in 100 mm tissue culture dishes (Coming) at a density of 1 x 10 ⁇ cells/ml in 10 ml CM After 48 hour incubation at 37°C, 5 percent C0 2 , supernatant was aspirated, rendered cell-free by cent ⁇ fugation at 1 ,500 rpm for 10 minutes, then stored at -20"C IL-4 concentration was then determined by ELISA, employing a commercially available kit (Research & Diagnostic Systems, Minneapolis, Minnesota) Table 2 shows the level of secretion of lnterieuk ⁇ n-4 from clones of genetically altered human serous papillary ova ⁇ an cancer cells
  • each parental line and cells transduced with vector alone did not produce detectable levels of IL-4.
  • the best IL-4 producing clone termed UCI 107E IL-4 GS, was expanded and employed to form a master cell bank for further testing and extensive characterization.
  • the parental cell line UC1 107 has the characteristic morphology of ovarian epithelial cells grown in vitro.
  • the morphology of UC1 107 cells transduced with the LXSN vector alone or LXSN containing the IL-4 gene was indistinguishable from that of parental 107 cells.
  • the doubling time of parental, vector control, and UCI 107E IL-4 GS cells was determined to be 15.3, 15.7, and 18.6 hr, respectively.
  • Figure 1 shows the growth and IL-4 secretion by UCI 107E IL-4 GS cells. No changes in the growth rate of these cells have been observed in vitro over 35 passages and 6 months of culture. Levels of IL-4 production were consistently in the range of 900 to 1300 pg/ml/10 5 cells/48 hr during the 6 months of passage. Extensive tests performed on the UCI 107E IL-4 GS master cell bank (MCB) revealed that this line is free of the presence of mycoplasma, bacteria, and infectious viruses.
  • MBC master cell bank
  • Southern analysis was conducted using the Neo R gene to probe the UCI 107E IL-4 and the parental UC1 107 line. Briefly, concentrated suspensions of tissue culture cells were lysed in TNE buffer (10 mM Tris, 100 mM NaCl, 1 mM EDTA, pH 7.5) containing 0.5% SDS, treated with 50 ⁇ g/ml proteinase K overnight at 37 ⁇ C, then extracted with phenol and chloroform. The DNA solution was precipitated in 100% ethanol, spooled out and resuspended in 10 mM Tris, 0.1 mM EDTA (pH 8).
  • Proteins of the major histocompatibility complex, adhesion molecules, and tumor-associated antigens such as CA-125 are important for both recognition and destruction of tumor cells by the immune system Accordingly, expression of representative antigens was examined by fluorescence-activated cell sorting (FACS) Monolayers of parental cells, vector controls, and IL-4 transduced cells were harvested with 0 1% trypsin and 0 2% EDTA Harvested cells were fluorescently labeled using the following p ⁇ mary antibodies anti-HLA class I and anti-HLA class II (monoclonal antibodies (mAb) W6/32 and CR3-43, respectively, Accurate Chemical and Scientific Corp ), ant ⁇ -ICAM-1 (mAb LB-2, Becton-Dickmson), anti- CA-125 (mAb OC125, Signet Laborato ⁇ es), ant ⁇ -HER-2/new p185 (mAb TA-1, Oncogene Science), and ant ⁇ -IL-4-receptor (Genzy
  • a human ovarian carcinoma cell line (UCI-107) was genetically engineered to secrete human cytokine granulocyte-macrophage colony stimulating factor (GM-CSF), similar to the method described in Example 1.
  • GM-CSF granulocyte-macrophage colony stimulating factor
  • One clone termed UCI-107M GM-CSF-MPS, constitutively secretes high levels of GM-CSF (-500 pg ml/10 5 cells 48 hours)
  • UCI-107M GM-CSF-MPS cells express MHC Class I and Her2/New surface antigens, but do not express detectable MHC Class II, ICAM-1 or the tumor-associated antigen CA-125. After a radiation dose of 10,000 rads, GM-CSF secretion continued until about Day 8.
  • GM-CSF is one of the most potent stimulators of systemic anti-tumor immunity.
  • the pLXSN plasmid is described in Example 1.
  • the human GM-CSF cDNA was obtained from the ATCC in the Okayama and Berg pCD cloning vector, and was excised using BamHI restriction enzyme. The cDNA was then cloned into the BamHI restriction site in the multiple cloning region of pLSXN. Proper orientation of the cDNA was determined by diagnostic restriction endonuclease digests.
  • retroviral plasmid DNA was then purified by CsCI gradient density centrifugation.
  • GM-CSF transductants and vector control cells were seeded in 100 mm tissue culture dishes (Coming) at a density of 1 x 10 6 cells/ml in 10 ml CM. After 48 h incubation at 37°C, 5% C0 2 , supernatant was aspirated, centrifuged at 1,500 rpm for 10 minutes, then stored at -20°C.
  • GM-CSF concentration was determined by ELISA, employing a commercially available kit (Research & Diagnostic Systems, Minneapolis, Minnesota).
  • the biologic activity of GM-CSF was measured in a cell proliferation assay using a GM-CSF factor-dependent human cell line, TF-1, provided by Dr. Monica Tsang (Research and Diagnostic Systems). The level of biologic activity correlated with the level of GM-CSF detected by ELISA.
  • Designation GM-CSF pg/mL Designation GM-CSF pg mL
  • the parental cell line UC1 107 has the characteristic morphology of ovarian epithelial cells grown in vitro.
  • the morphology of UC1 107 cells transduced with the LXSN vector alone or LXSN containing the GM-CSF gene was indistinguishable from that of parental 107 cells.
  • the doubling time of the parental, vector control and UCI-107M GM-CSF-MPS cells was approximately 20 to 26 h.
  • GM-CSF production by UCI- 107M GM-CSF-MPS were consistently in the range of 420 to 585 pg/ml/10 5 cells/48 hours.
  • the GM-CSF secreting clone was evaluated for successful gene insertion by Southern hybridization after 20 passages of the cells, and the presence of the inserted gene was confirmed.
  • UCI-107M GM-CSF-MPS cells were irradiated and supematants from individual subcultures were evaluated for cytokine production. No effects on cell growth were observed at doses of less than 1,000 rads. At higher doses, approximately 90% of the cells were viable 48 h after irradiation, with 30% and 10% viability at 4 and 6 days, respectively. All cells were dead after three weeks. No statistically significant differences in survival were seen among cells irradiated with 2,500, 5,000 or 10,000 rads. Secretion of GM-CSF continued until about day 8, suggesting a decrease but not a complete inhibition in the biosynthesis and release of the cytokine in cells surviving irradiation.
  • MHC Class I and Her-2/neu surface antigens were observed in irradiated cells compared with the non-irradiated controls.
  • Gamma irradiation did not induce neo-expression of antigens not originally expressed on the parental cells; in particular, HLA Class II antigens, ICAM-I or CA-125.
  • EXAMPLE 3 AN OVARIAN CANCER CELL LINE TRANSDUCED TO EXPRESS IL-2
  • a human ovarian carcinoma cell line (UCI-107) was genetically engineered to secrete the cytokine lnterieukin-2 (IL-2), by retroviral mediated gene transduction similar to the method outlined in Example 1. This line was transduced with the LXSN retroviral vector containing the human IL-2 gene and the neomycin resistance selection marker.
  • UCI-107A IL-2 AS was shown to constitutively secrete high levels of IL-2 (i.e., 2,000 to 2,300 pg/ml/10 5 cells/48 hours) for over 35 passages and six months of study.
  • UCI-107A II-2 AS failed to express MHC Class I and Her2/Neu surface antigens, in addition,
  • UCI-107A IL-2 AS cells exhibited a distinct in vitro morphology, and were resistant to gamma irradiation.
  • the human IL-2 cDNA was obtained from ATCC in the Okayama and Berg pCD cloning vector and was excised using BamHI restriction enzyme. The cDNA was then cloned into the BamHI restriction site in the multiple cloning region of the pLSXN plasmid. Proper orientation of the cDNA was determined by diagnostic restriction endonuclease digests. Retroviral plasmid DNA was purified by CsCI gradient density centrifugation.
  • the purified retroviral plasmid DNA (LXSN/IL-2) was used to transfect the murine esotropic packaging cell line GP-E86 by the calcium phosphate method. Forty-eight hour supernatant from these cells was then used to infect the murine amphotropic packaging cell line, PA317 obtained from ATCC, and selected by resistance to Geneticin.
  • UCI-107 cells were seeded into 100 mm tissue culture dishes at densities of 1x10 6 cells in 10 ml CM. 10 ml of retroviral supernatant was added, and incubated with the cells overnight. Clones were isolated after 14 days and expanded for three weeks in CM containing G418.
  • IL-2 concentration in clone supematants was determined by ELISA, employing a commercially available kit (Research & Diagnostic Systems, Minneapolis, Minnesota).
  • the biologic activity of IL-2 was measured in a cell proliferation assay using an IL-2 dependent murine cytotoxic cell line, CTLL-2 provided by Dr. Monica Tsang (Research and Diagnostic Systems). The level of biologic activity correlated with the level of IL-2 detected by ELISA.
  • UCI-107A IL- 2 AS the highest IL-2 producer, termed UCI-107A IL- 2 AS, was shown to have a level of IL-2 production consistently in the range of 2,000 to 2,300 pg/ml/10 5 cells/48 hours during the six months of the observation period. This clone was expanded and employed to form a master cell bank for further testing and characterization. The mo ⁇ hology of UCI-107 cells transduced with the LXSN vector was indistinguishable from that of parental UCI-107 cells.
  • UCI-107 cells containing the IL-2 gene exhibited significantly altered morphology, being much more spindle-shaped than parental cells.
  • the doubling time of parental, vector control and UCI-107A IL-2AS cells was approximately 20 to 26 hours, stable for over 35 passages and 6 months of culture.
  • the IL-2 secreting clone transduced with LXSN-IL-2 and selected in G418 was evaluated for successful gene insertion by Southern hybridization probing for the Neo R gene confirmed the presence of the retroviral vector in the genome of the transduced UCI-107 cells.
  • UCI-107 cells and vector control cells express MHC Class I antigens, 87.5% and 94.8% respectively; Her-2/neu, 95.8% and 94.3% respectively; but did not express MHC Class II determinants, CA 125 or ICAM-1.
  • UCI-107A IL-2 AS cells did not display any of these antigens at detectable levels.
  • mice Seven and eight, 7 week-old female BALB/C nude mice, respectively, were injected i.p. with
  • 107A IL-2 AS cells remained alive and tumor-free after eight weeks.
  • the resistance of the UCI-107A IL-2 AS cell to cytotoxic killing in these in vitro assays may provide an advantage to the use of these cells in vaccine compositions.
  • the lack of expression of MHC Class I, Class II and ICAM-1 antigens may reduce the anti-allogeneic response that would ordinarily eliminate cells of the vaccine.
  • EXAMPLE 4 CYTOKINE-EXPRESSINQ HUMAN QUOBLASTOMA CELLS
  • human ghoblastoma cells were genetically altered to secrete TNF- ⁇ , IL-2, IL-4, or GM-CSF.
  • the engineered cell lines were characterized for potential use in vaccine trials.
  • a human ghoblastoma cell line designated ACBT was established as follows: Tumor tissue was obtained at the time of surgery from a 42 year old male patient with recurrent ghoblastoma multiforma of the right temporal lobe. Tumor tissue was minced into 20 mm pieces and digested overnight in collagenase (Sigma Chemical Co., N.J.). The cell suspension was then filtered through a sterile 100 ⁇ m nylon mesh (Tetro Inc.), and washed 3 times in RPMI 1640 (GIBCO Life Technologies, Grand Island, N.Y.), 10% fetal bovine serum (FBS; GIBCO Life Technologies) and 1% penicillin/streptomycin. Cells cultured from the original tissue were confirmed to be ghoblastoma in origin as determined by GFAP positively and morphology.
  • the cDNA gene for human TNF- ⁇ was obtained from the ATCC. It was cloned into the Hpal restriction site in the multiple cloning region of plasmid pLNCX (Example 1) by a double blunt end ligation to generate the recombinant plasmid pLNCT. Proper sense orientation of the TNF cDNA was confirmed by analytical restriction enzyme digests.
  • the expression of TNF- ⁇ in the LNCT vector is controlled by the internal immediate early enhancer/promoter of the cytomegalovirus, and the expression of the neomycm resistance gene is under control of the 5' Long ⁇ erm ⁇ nal Repeat (LTR) of the integrated retroviral vector
  • the IL-2, IL-4 and GM-CSF cDNA containing vectors were constructed in a similar fashion
  • the cDNA for each of these cytokines was obtained from ATCC and was cloned into the BamHI rest ⁇ ction site in the multiple cloning region of plasmid pLXSN to generate the recombinant plasmids pLXSN/IL-2, pLXSN/IL-4, and pLXSN/GM-CSF Cytokine expression in this vector system is controlled by the 5' LTR of the integrated proviral vector, and expression of the neomycm resistance gene is under control of the SV40 early promoter
  • Infectious TNF gene containing retroviral particles were generated by transfecting the amphotropic packaging cell line PA317 with punfied pLNCT DNA, or with pLNCX DNA (the vector control)
  • pLNCX DNA the vector control
  • the DNA mixture was used to transfect 1 x 10 6 PA317 cells, which were seeded 4 hours p ⁇ or in a 100 mm tissue culture dish, by the calcium phosphate precipitation method After a 48- hour incubation pe ⁇ od, the media was removed from the transfected cells and cent ⁇ fuged at 3,000 x g for 5 minutes to remove cellular deb ⁇ s
  • the resulting supernatant contained infectious retroviral particles (vLNCT) and was used to transduce ACBT cells
  • the transfection process compnsed plating 1 x 10 4 , 1 x 10 s , 10 x 10 6 and
  • ACBT/TNF ACBT/IL-2 ACBT/IL-4 ACBT/GM-CSF
  • the ACBT/parental and vector control cells produced minimal to low levels of each of the respective cytokines.
  • Clones ACBT/TNF-G, ACBT/IL-2-C2, ACBT/IL-4-T and ACBT/GM-CSF-M4 produced the highest levels of the indicated cytokine and were used for analysis of growth characteristics and kinetics of cytokine secretion.
  • the parental cell line, ACBT has a characteristic morphology of spindle shaped astrocytoma cells grown in vitro.
  • the growth rates of parental, LNCS vector control, LXSN vector control, ACBT/IL-2-C2, ACBT/IL-4-T and ACBT/GM- CSF-M4 cells were similar, with doubling times ranging from 25 to 35 hours.
  • the ACBT/TNF-G cell line had a somewhat slower growth rate of 41 hours.
  • Figure 4 shows cytokine production by 0.5 x 10 6 cells/10 ml over a period of 96 hours.
  • the best TNF-producing clone, ACBT/TNF-G was expanded to form a master cell bank for further testing and extensive characterization. TNF production was studied over a period of 2.5 months and 15 passages, and was consistently in the range of 2500 to 3500 pg/ml.
  • ACBT/TNF-G cells were given either 10,000 ( ⁇ ) or 20,000 ( ⁇ ) rads of ⁇ -irradiation from a cesium source, and then were established as monolayer cultures in CM (Figure 5). 59% and 45% of the cells were viable 48 hours after irradiation with 10,000 and 20,000 rads, respectively; and only 2% of cells were viable 14 days later in each group. At 3 weeks, all of the cells that had received 20,000 rads were dead. Some cells that had received 10,000 rads survived, and replicated to 44% of the original cell number plated (Panel A). TNF production in the culture initially decreased after irradiation, but then steadily increased up to day 10 (Panel B). TNF production expressed per 10 5 viable cells steadily increased over time after irradiation. There was no observable difference in the levels of cytokine secretion per 10 5 viable cells between the treatment groups.
  • MHC antigens The expression of MHC antigens was analyzed by FACS on parental, vector control and ACBT/TNF-G cells. The results obtained are summarized in Table 7.
  • the ACBT TNF-G cell line was extensively tested for the presence of various microorganisms by our own and outside laboratories. The results revealed that the ACBT/TNF-G cell line is free of mycoplasma, bacteria, the DNA viruses Epstein-Barr, human hepatitis B, human cytomegalovirus, and replication competent retroviruses.
  • M-CSF M-CSF protein due to alternative post-transcriptional splicing within exon 6.
  • One form of the protein is secreted as a 45kd homodimeric glycoprotein, and the other form remains associated with the cell membrane.
  • the secreted form induces proliferation and differentiation of monocyte progenitors, is responsible for the stimulation of the effector functions of macrophages such as cytokine production and enhanced tumoricidal activity, and may function as a chemoattractant for circulating monocytes.
  • sM-CSF is believed to induce proliferation and activation of microbial cells.
  • mM-CSF membrane bound isoform
  • T9 glioblostoma cells expressing the mM-CSF isoform, but not the secreted form, are killed in vitro by tumoricidal macrophages.
  • the therapeutic value of the two M-CSF isoforms was investigated in giioma destruction by using T9 ghoblastoma cells genetically modified to express either the soluble or the membrane-associated isoforms of M-CSF in a syngeneic Fischer rat brain tumor model.
  • T9 ghoblastoma tumor cells (induced by the repeated intravenous injection of N- nitrosomethylurea in a Fischer F344 rat; Benda et al. (1971) J. Neurosurg. 34:310 were provided by Dr. J. Yoshida, Department of Neurosurgery, Nagoya University, Japan.
  • An intracranial (i.e.) injection of 1 x 10 s T9 cells into the Fischer rat brain is 100% lethal in 20-25 days.
  • 9L gliosarcoma cells (induced by repeated i.v. injection of N-nitrosomethylurea; Albright et al.) were obtained from Dr. Carol Kruse, University of Colorado Health Science Center, Denver, CO.
  • T9 ghoblastoma cells were transduced with a retroviral expression vector (LXSN) containing the human cDNA gene for the secreted or membrane-associated isoform of M-CSF (obtained from M.R. Jadus).
  • LXSN retroviral expression vector
  • clone T9/sM-CSF(H1) secretes M-CSF at a level of 2000 pg/ml when 1x10 6 cells are cultured in 10 ml of media for 3 days.
  • Secreted M-CSF was shown to be biologically active by its ability to induce macrophage colonies from rodent bone marrow samples.
  • T9/mM-CSF(C2) expressed a high level of M-CSF on its cell surface
  • T9/sM-CSF, vector control and parental T9 cells did not Clone T9/mM-CSF(C2) was effectively killed by macrophages in an in vitro co-culture expe ⁇ ment but T9/sM-CSF(H1) and parental T9 ghoblastoma cells were not Clone T9/mM-CSF(C2) and T9/sM-CSF(H1) did not differ in their in vitro growth rate, the expression of MHC class I or class II antigens, expression of ICAM-1 (CD54), or morphology, in compa ⁇ son with T9 parental or T9/LXSN vector control cells
  • Tumor implantation studies were conducted as follows Animals were anesthetized by an intramuscular injection of ketam e (87 mg/kg) and xylazine (6 5 mg/kg) A hand-held Dremel d ⁇ ll was used to create a shallow depression 3mm to the ⁇ ght of the sagittal suture and 1 mm postenor to the coronal suture 10 ⁇ l tumor cell suspension in PBS was injected into the postenor pa ⁇ etal lobe of the brain at a depth of 4 mm using a Hamilton sy ⁇ nge, and the needle track was sealed with melted paraffin
  • Tumor resistance could also be conferred by administering mM-CSF secreting cells at a site distant to the brain (Figure 7, Lower Panel) 1 x 10 7 viable T9/mM-CSF cells injected s c in the flank were rejected in approximately one week These animals were completely resistant to a subsequent i c challenge with parental T9 glioma cells ( ⁇ ) In contrast, animals initially treated with T9/LXSN vector control cells (•) were not resistant
  • mice were coinjected with the lymphoma cells and the mouse melanoma cell line B16. Tumor growth was delayed by 2 weeks, in comparison with mice injected with B16 cells alone, or B16 cells mixed with non-cytokine secreting lymphoma cells. When the B16 cells were irradiated before mixing with the IL-4 cells, animals receiving the composition had no significant survival advantage against a subsequent challenge, compared with controls. In another experiment, C57BL/6 mice were coinjected with IL-4 secreting lymphoma cells and the carcinoma cell line LL/2.
  • mice Only one out of three mice develped tumor (the others were tumor-free), whereas all three mice in group injected with LL/2 alone developed tumor. Histologic examination of the one tumor in the treated group demonstrated prominent intratumor eosinophilia, as well as prominent splenic eosinophilia. The surviving mice are subsequently tested for immunity by rechaliengwe with LL/2 cells alone.
  • EXAMPLE 7 USE OF COMBINATION VACCINE COMPRISING AUTOLOGOUS TUMOR CELLS AND IL-4 SECRETING
  • This example describes a protocol for the use of a cellular vaccine in the treatment of human ovarian cancer.
  • the vaccine comprises various amounts of IL4-secreting 4CI 107 cells (Example 1) mixed with autologous tumor cells.
  • Women diagnosed with Stage III or Stage IV epithelial ovarian cancer are candidates for this protocol.
  • a portion of tumor is collected, reduced to a single cell suspension, and used to establish both a primary cell culture and an autologous tumor master cell bank.
  • Peripheral blood cells, and lymphocytes from the most cephalad para-aortic lymph node are collected and frozen for future in vitro testing.
  • patients receive four weekly subcutaneous vaccine injections in the anterior thigh.
  • patients begin weekly adjuvant chemotherapy, consisting of intravenous (i.v.) Cisplatin at 50 mg/m 2 for nine consecutive weeks.
  • a second set of four weekly mixed tumor cell vaccinations begins three weeks after the last course of chemotherapy. This set of vaccinations consists of the same concentration of cells as the first set. A second-look laparotomy is performed three weeks after the last vaccine injection. At this time, the surgeon performs an appropriate secondary debulking of any gross residual disease, and removes one or two pelvic, para-aortic or external iliac lymph nodes. The lymphocytes obtained from the draining nodes and the lymphocytes obtained at the end of the immunization procedures are compared with lymphocytes obtained at time 0 for in vitro analysis of the host's immunological response to autologous and allogeneic tumor cells as a result of receiving the vaccine. Skin testing is also conducted to evaluate the allogeneic and the autologous cell-mediated immune reactivity at various intervals during the protocol. Subjects: Patients are eligible for this study if they fulfill all of the following c ⁇ te ⁇ a
  • Hematoc ⁇ t > 20
  • Neutrophil count > 1 5 x 10 6 /ml
  • Platelet count > 100,000
  • Creatinine ⁇ 2 0
  • immunosuppressive agents including but not limited to corticosteroids and cyclospo ⁇ ne
  • IL-4 supernatant is injected intraperitoneally into mice. 0.7 to 1.0 ml of blood is drawn at four weeks after injection. The blood is sent to Dr. Dixie Fisher's laboratory, University of Southern California, Vivaria
  • ectromelia integument
  • GD VII central nervous system
  • Lactic dehydrogenase elevating virus liver
  • Mouse hepatitis virus digestive tract
  • Pneumonia virus of mice respiratory tract
  • Reo-3 Animal Diagnostic and Research Laboratory, for serologic analysis for the following murine virus antibodies: ectromelia (integument); GD VII (central nervous system); Lactic dehydrogenase elevating virus (liver); Mouse hepatitis virus (digestive tract); Pneumonia virus of mice (respiratory tract); Reo-3
  • Monolayers of UCI-107 IL-4-E cells for implantation are washed three times in PBS and established in Aim V medium.
  • Aim V medium is approved for cell culture prior to implantation into patients and contains no bovine serum.
  • Cells are passed in Aim V for two weeks before use in the vaccine preparations, then washed and resuspended in PBS.
  • Cell viability is established by trypan blue exclusion. Cell suspensions with less than 90 percent viability are not employed.
  • Tumors are diagnosed by intraoperative examination of frozen sections. Once identified as an epithelial ovarian carcinoma, a portion of viable solid tumor tissue is asepticahy collected, rapidly transported and processed within 4 hours into a single cell suspension by the method of Weisenthal et al. One aliquot is used in an attempt to establish a primary cell culture. The remainder is resuspended in complete medium containing 10% DMSO, and aliquoted for storage under liquid nitrogen. The patient identification number and date of collection is recorded in a computer database and on each vial. The aliquoted frozen tumor cells are used as the autologous vaccine component. If a cell culture is established, it is used for in vitro testing; otherwise primary tumor cells are used.
  • Tumor cells are manipulated and stored in AIM V medium plus 15 percent autologous human serum. Both cells and medium from the autologous tumor master cell bank are tested for bacterial contamination at the time the vials are placed into the freezer. Samples are inoculated into thioglycolate medium for both aerobic and anaerobic bacteria; and streaked on trypticase soy yeast extract plates for aerobic bacteria. Cultures are incubated for five days at 37°C. Sample are also tested for endotoxins.
  • a 15 ml conical tube containing 10 ml CM and varying doses of UCI-107 IL-4-E and autologous tumor cells is irradiated for 50 minutes with a Cs137 source discharging 200 rads min. After irradiation, the vaccine cells are washed three times in normal saline and injected within 60 minutes.
  • Treatment Plan Three patients are tested for each dose combination, unless the maximum tolerated combination, demonstrated by Grade III or greater toxicity or irreversible Grade II toxicity is observed. In this case, up to three additional patients are entered at the same dose level. If a second patient then develops the same degree of toxicity, that dose and cell combination is defined as the maximum tolerated combination. If none of the three additional patients develop the same degree of toxicity, the dose is escalated to the next level until the maximum level to be tested is reached. Intrapatient dose escalation is not performed. The following table outlines the dosages used: TABLE 8
  • Inoculations are administered subcutaneously 10 cm inferior to the inguinal ligament on the ante ⁇ or mid-thigh
  • the site of inoculation is alternated such that the first inoculation is administered to the left thigh, the next to the ⁇ ght thigh, and so on, using a 22 gauge needle
  • the treatment schedule is as follows
  • Adjuvant Chemotherapy Nine days after the fourth vaccination, adjuvant chemotherapy consisting of i v Cisplatin at 50 mg/m 2 x 9 weekly cycles is administered (days 35, 42, 49, 56, 63, 70, 77, 84 and 91) Cisplatin, combination Cisplatin/Cyclophaphamide, or Cisplatin/Cyclophosphamide/ Doxorobicin are believed to be approximately equivalent in terms of efficacy and toxicity, even when stratified for optimal versus sub-optimal p ⁇ mary debulking If deemed necessary, in addition to the Cisplatin, i v Taxol may be used as a salvage therapy
  • Immunologic Testing In vitro and in vivo immunological tests are conducted to determine if the immunization procedure has induced a host anti-tumor response Baseline reactivity is established before the vaccinations begin. Reactivity against the allogeneic cell line serves as a positive control to measure patient reactivity against strong antigens.
  • PBMC peripheral blood mononuclear cells
  • Lymphocyte cytolytic activity and cytokine production is tested as follows: Cytolytic activity of the patient's lymphoid cells is measured in a 4 hour 51 Cr release microplate assay and in long-term assays versus the allogeneic UCI-107 cell lines, autologous tumor cells, and another ovarian tumor cell line from a different patient as a specificity control. Delayed Type Hypersensitivity (DTH) is tested by skin reaction. Test inoculations include:
  • Mumps viral
  • Trichophyton fungal
  • PPD bacterial antigens
  • 5 x 10 5 irradiated autologous tumor cells or 5 x 10 5 irradiated allogeneic tumor cells.
  • Inoculums are administered into the forearm at separately marked sites. The diameter of induration is recorded 48 hours following inoculation, and skin test responses of less than 5 mm induration are scored as negative. DTH responses are assessed prior to vaccination (day 3), prior to chemotherapy (day 33), prior to the second series of vaccinations (day 111), and after the second series of vaccinations (day 152).
  • the ability of the vaccine combinations to improve the outlook of patients with ovarian cancer is also assessed according to standard clinical criteria.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Organic Chemistry (AREA)
  • Zoology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Immunology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biochemistry (AREA)
  • Toxicology (AREA)
  • Biophysics (AREA)
  • Genetics & Genomics (AREA)
  • Molecular Biology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Mycology (AREA)
  • Microbiology (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Cell Biology (AREA)
  • Virology (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biotechnology (AREA)
  • Developmental Biology & Embryology (AREA)
  • Oncology (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Peptides Or Proteins (AREA)

Abstract

L'invention concerne des vaccins cellulaires ainsi que des procédés d'utilisation de ceux-ci dans l'immunothérapie du cancer, notamment chez l'homme. Ces vaccins comprennent une source d'un antigène associé à la tumeur, ainsi qu'une lignée cellulaire sécrétant une cytokine. L'antigène tumoral peut se présenter sous la forme de cellules tumorales primaires, de lignées cellulaires tumorales ou d'extraits tumoraux préparés à partir du sujet. Dans certains modes de réalisation de l'invention, la lignée sécrétant une cytokine constitue une lignée tumorale séparée qui est allogénique par rapport au patient et génétiquement modifiée de façon à produire un taux élevé d'une cytokine. A titre d'exemple de cytokines, on peut citer IL-4, GM-CSF, IL-2, TNF-α et M-CSF, sous forme sécrétée ou fixée sur membrane. Dans ces modes de réalisation, les cellules produisant une cytokine apportent une immunostimulation en trans afin de produire une réponse immune spécifique contre l'antigène tumoral. On peut préparer des vaccins sur mesure, pour chaque type de cancer ou pour chaque sujet, en mélangeant l'antigène tumoral avec un nombre favorable de cellules produisant une cytokine, ou avec un cocktail de telles cellules produisant une pluralité de cytokines dans un rapport favorable.
PCT/US1997/013205 1996-07-25 1997-07-25 Immunotherapie du cancer au moyen de cellules tumorales autologues combinees a des cellules allogeniques secretant une cytokine WO1998004282A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU39655/97A AU3965597A (en) 1996-07-25 1997-07-25 Cancer immunotherapy using autologous tumor cells combined with allogeneic cytokine-secreting cells
DE69739046T DE69739046D1 (de) 1996-07-25 1997-07-25 Immunogene zusammensetzung umfassend tumorassoziiertes antigen und humanes zytokin
CA002261837A CA2261837A1 (fr) 1996-07-25 1997-07-25 Immunotherapie du cancer au moyen de cellules tumorales autologues combinees a des cellules allogeniques secretant une cytokine
EP97937043A EP0915708B1 (fr) 1996-07-25 1997-07-25 Composition immogene comprenant antigene associe a tumeur et cytokine humaine

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US2310896P 1996-07-25 1996-07-25
US6O/023,108 1996-07-25
US60/029,286 1996-10-10
US2928696P 1996-10-29 1996-10-29
US08/901,225 1997-07-24
US08/901,225 US6277368B1 (en) 1996-07-25 1997-07-24 Cancer immunotherapy using autologous tumor cells combined with cells expressing a membrane cytokine

Publications (1)

Publication Number Publication Date
WO1998004282A1 true WO1998004282A1 (fr) 1998-02-05

Family

ID=27362007

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1997/013205 WO1998004282A1 (fr) 1996-07-25 1997-07-25 Immunotherapie du cancer au moyen de cellules tumorales autologues combinees a des cellules allogeniques secretant une cytokine

Country Status (7)

Country Link
US (5) US6277368B1 (fr)
EP (1) EP0915708B1 (fr)
AT (1) ATE411042T1 (fr)
AU (1) AU3965597A (fr)
CA (1) CA2261837A1 (fr)
DE (1) DE69739046D1 (fr)
WO (1) WO1998004282A1 (fr)

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998039449A1 (fr) * 1997-03-04 1998-09-11 Chiron Corporation COMPOSITIONS ET UTILISATIONS DE M-CSF-alpha
WO1998048000A3 (fr) * 1997-04-23 1999-01-28 Univ California Souche cellulaire a activite cytotoxique anticancereuse
EP1076564A1 (fr) * 1998-04-02 2001-02-21 The Regents of the University of California Procedes servant a augmenter le developpement de cellules presentant des antigenes et les reactions immunes antitumorales chez un patient humain
US6207147B1 (en) 1996-10-11 2001-03-27 The Regents Of The University Of California Cancer immunotherapy using tumor cells combined with mixed lymphocytes
WO2000050584A3 (fr) * 1999-02-24 2001-11-15 Univ Iowa Res Found PROCEDES ET COMPOSITIONS DESTINES A AMELIORER L'INTRODUCTION/EXPRESSION DE GENE $i(IN VIVO)
FR2822707A1 (fr) * 2001-04-03 2002-10-04 Neurotech Association d'un antigene tumoral et d'un systeme de delivrance d'une cytokine ou d'une chemokine a des fins d'immunotherapie du cancer
WO2002085409A3 (fr) * 2001-04-12 2002-12-27 Chemocentryx Procedes et compositions permettant d'induire une reponse immunitaire
US7175839B1 (en) 1997-10-10 2007-02-13 Meyer Pharmaceuticals Llc Cancer immunotherapy using allostimulated cells in a multiple sequential implantation strategy
US7217421B1 (en) * 1998-11-03 2007-05-15 Cell Genesys, Inc. Cancer-associated antigens and methods of their identification and use
US7226606B2 (en) 1998-11-03 2007-06-05 Cell Genesys, Inc. Cancer-associated antigens and methods of their identification and use
US7361332B2 (en) 1995-03-17 2008-04-22 The Regents Of The University Of California Treating tumors using implants comprising combinations of allogeneic cells
US7361329B2 (en) 2000-04-21 2008-04-22 Chemocentryx, Inc. Compositions for inducing an immune response
US7666609B1 (en) 1998-12-01 2010-02-23 Shanghai Cp Guojian Pharmaceutical Co. Ltd. Method and composition for diagnosis of melanocytic lesions
WO2012096862A1 (fr) * 2011-01-13 2012-07-19 Oncbiomune, L.L.C. Vaccination de patients atteints du cancer

Families Citing this family (67)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6406689B1 (en) 1995-10-03 2002-06-18 Frank W. Falkenberg Compositions and methods for treatment of tumors and metastatic diseases
US6277368B1 (en) 1996-07-25 2001-08-21 The Regents Of The University Of California Cancer immunotherapy using autologous tumor cells combined with cells expressing a membrane cytokine
EP1012240B1 (fr) 1997-01-31 2008-03-19 Edward P. Cohen Immunotherapie anticancer a base de cellules semi-allogeniques
US6312700B1 (en) * 1998-02-24 2001-11-06 Andrew D. Weinberg Method for enhancing an antigen specific immune response with OX-40L
US20070269455A1 (en) * 1998-05-26 2007-11-22 Genitrix, Llc Cytokine-coated cells and methods of modulating an immune response to an antigen
US6501363B1 (en) * 1999-11-03 2002-12-31 Innosys, Inc. Vertical transformer
AUPQ755300A0 (en) * 2000-05-17 2000-06-08 Monash University Immune potentiating compositions
US7371387B2 (en) * 2001-02-21 2008-05-13 Genitrix Llc Vaccine compositions and methods of modulating immune responses
CU22999A1 (es) * 2001-12-04 2004-10-12 Centro Inmunologia Molecular Método de tratamiento de enfermedades malignas e infecciosas crónicas
US20030044393A1 (en) * 2001-07-06 2003-03-06 Annie-Chen Tran Method for increasing tumor cell immunogenicity using heat shock protein
US7446185B2 (en) * 2001-07-18 2008-11-04 The Regents Of The University Of California Her2/neu target antigen and use of same to stimulate an immune response
US20030175242A1 (en) * 2001-09-17 2003-09-18 Micheal Gruenberg Cell therapy system
US20050095230A1 (en) * 2001-11-22 2005-05-05 Yoo Nae C. Interleukin-2 gene transferred lymphokine activated killer cells
US20040076622A1 (en) * 2002-03-02 2004-04-22 Board Of Regents, The University Of Texas System Local production and/or delivery of anti-cancer agents by stromal cell precursors
AU2003212170A1 (en) * 2002-03-25 2003-10-08 Technologies Biolactis Inc. Chemotherapeutic agents as anti-cancer vaccine adjuvants and therapeutic methods thereof
BR0309254A (pt) * 2002-04-12 2005-03-01 Medarex Inc Uso de um anticorpo anti-ctla-4
US7629440B2 (en) * 2002-08-20 2009-12-08 Genitrix, Llc Lectin compositions and methods for modulating an immune response to an antigen
US20040091503A1 (en) * 2002-08-20 2004-05-13 Genitrix, Llc Lectin compositions and methods for modulating an immune response to an antigen
RU2377253C2 (ru) 2002-12-02 2009-12-27 Амген Фремонт,Инк. Антитела, специфичные к фактору некроза опухолей, и их применение
US20060062764A1 (en) * 2004-08-25 2006-03-23 Seshidar-Reddy Police Fiber-modified adenoviral vectors for enhanced transduction of tumor cells
US8257715B1 (en) 2004-08-26 2012-09-04 University Of Notre Dame Tissue vaccines and uses thereof
US20060057127A1 (en) * 2004-09-10 2006-03-16 Pocheng Liu Cytokine-expressing cellular vaccines for treatment of prostate cancer
US20070166316A1 (en) * 2004-09-11 2007-07-19 Mosca Joseph D Tumor-derived biological antigen presenting particles
WO2006105255A2 (fr) 2005-03-29 2006-10-05 The Board Of Trustees Of The University Of Illinois Vaccins contre le cancer et methodes therapeutiques
US8802113B2 (en) 2005-10-27 2014-08-12 University Of Notre Dame Extracellular matrix cancer vaccine adjuvant
US8778362B2 (en) 2005-10-27 2014-07-15 University Of Notre Dame Anti-tumor/cancer heterologous acellular collagenous preparations and uses thereof
US8778360B2 (en) * 2005-10-27 2014-07-15 University Of Notre Dame Extracellular matrix cancer vaccine adjuvant
US9308252B2 (en) 2005-10-27 2016-04-12 Cook Biotech, Inc. Extracellular matrix materials as vaccine adjuvants for diseases associated with infectious pathogens or toxins
WO2008013989A2 (fr) 2006-07-27 2008-01-31 Cell Genesys, Inc. Procédés et compositions pour identifier une réponse immunitaire cellulaire contre le cancer de la prostate
WO2008019290A2 (fr) 2006-08-04 2008-02-14 Astrazeneca Ab Anticorps anti-erbb2
US9320794B2 (en) 2006-11-13 2016-04-26 Immunovative Therapies, Ltd. Ablative immunotherapy
US7972594B2 (en) 2006-11-13 2011-07-05 Immunovative Therapies Ltd. Ablative immunotherapy
EP2117305A4 (fr) * 2007-01-26 2011-03-30 Univ Louisville Res Found Modification de composants à base d' exosome utilisés comme vaccin
WO2008109030A2 (fr) * 2007-03-02 2008-09-12 Cell Genesys, Inc. Procédés et compositions pour identifier un cancer de la prostate ou une réponse immune humorale contre un cancer de la prostate
EP2195650B1 (fr) * 2007-09-12 2016-07-06 Yeda Research And Development Company Ltd. Procédés de traitement de tumeurs dans des sites privilégiés immunitairement
EP2044949A1 (fr) * 2007-10-05 2009-04-08 Immutep Utilisation de lag-3 recombinant ou ses dérivatifs pour déclencher la réponse immune des monocytes
US20110038801A1 (en) * 2007-12-21 2011-02-17 Biosante Pharmaceuticals, Inc. Methods and compositions for identifying lung cancer or a humoral immune response against lung cancer
US9283266B2 (en) * 2008-02-28 2016-03-15 University Of Notre Dame Metastasis inhibition preparations and methods
WO2009155332A1 (fr) * 2008-06-17 2009-12-23 Cedars-Sinai Medical Center Ligands de récepteurs de type toll utilisés comme adjuvants à une vaccinothérapie pour les tumeurs cérébrales
CN102076354A (zh) * 2008-07-03 2011-05-25 杜克大学 用于引发免疫应答的组合物和方法
US8840881B2 (en) * 2008-08-28 2014-09-23 Aduro Gvax Inc. Methods and compositions for treating prostate cancer or inducing a humoral immune response against prostate cancer
US8846059B2 (en) 2009-12-08 2014-09-30 University Of Notre Dame Extracellular matrix adjuvant and methods for prevention and/or inhibition of ovarian tumors and ovarian cancer
US20110150934A1 (en) * 2009-12-18 2011-06-23 University Of Notre Dame Ovarian Tumor Tissue Cell Preparations/Vaccines for the Treatment/Inhibition of Ovarian Tumors and Ovarian Cancer
US8735342B2 (en) 2010-01-27 2014-05-27 Neumedicines, Inc. Method for treating brain cancer using a novel tumor suppressor gene and secreted factor
CA2798074A1 (fr) 2010-04-27 2011-11-03 The Johns Hopkins University Compositions immunogenes et methodes de traitement d'une neoplasie
CA2849259A1 (fr) 2011-09-19 2013-03-28 The Johns Hopkins University Immunotherapie anticancereuse
US9783591B2 (en) * 2012-02-22 2017-10-10 The Trustees Of The University Of Pennsylvania Use of the CD2 signaling domain in second-generation chimeric antigen receptors
CN104507538B (zh) 2012-06-08 2018-04-06 艾杜罗生物科技公司 癌症免疫疗法的组合物和方法
PT2931738T (pt) 2012-12-13 2019-04-10 Aduro Biotech Inc Composições compreendendo nucleótidos cíclicos de purina com estereoquímica definida e métodos para a sua preparação e utilização
BR112015022974A8 (pt) * 2013-03-12 2019-11-26 Immunovative Therapies Ltd composição terapêutica para tratar um tumor ou patógeno, composição de vacina e uso
EA201592074A1 (ru) 2013-04-29 2016-02-29 Мемориал Слоан Кеттеринг Кэнсер Сентер Композиции и способы изменения сигнальной системы вторичного мессенджера
EP2992000B1 (fr) 2013-05-03 2020-07-08 The Regents of The University of California Induction de dinucléotide cyclique de l'interféron de type i
US9549944B2 (en) 2013-05-18 2017-01-24 Aduro Biotech, Inc. Compositions and methods for inhibiting “stimulator of interferon gene”—dependent signalling
EP2996473B1 (fr) 2013-05-18 2019-08-21 Aduro Biotech, Inc. Compositions et procédés d'activation de la signalisation dépendante de « stimulateur de gènes d'interféron »
US10176292B2 (en) 2013-07-31 2019-01-08 Memorial Sloan-Kettering Cancer Center STING crystals and modulators
GB201322626D0 (en) 2013-12-19 2014-02-05 Immutep S A Combined preparations for the treatment of cancer
GB201500374D0 (en) 2015-01-09 2015-02-25 Immutep S A Combined preparations for the treatment of cancer
US10449211B2 (en) 2015-03-10 2019-10-22 Aduro Biotech, Inc. Compositions and methods for activating “stimulator of interferon gene”—dependent signalling
US11103466B2 (en) 2016-05-10 2021-08-31 Jacinto Convit World Organization Inc. Immunogenic composition for the treatment of cancer and methods of preparing the same
EP3507367A4 (fr) 2016-07-05 2020-03-25 Aduro BioTech, Inc. Composés dinucléotidiques cycliques d'acide nucléique bloqué et leurs utilisations
NL2017267B1 (en) 2016-07-29 2018-02-01 Aduro Biotech Holdings Europe B V Anti-pd-1 antibodies
NL2017270B1 (en) 2016-08-02 2018-02-09 Aduro Biotech Holdings Europe B V New anti-hCTLA-4 antibodies
WO2018080914A1 (fr) * 2016-10-28 2018-05-03 Eli Lilly And Company Anticorps anti-rankl et leurs utilisations
UY37695A (es) 2017-04-28 2018-11-30 Novartis Ag Compuesto dinucleótido cíclico bis 2’-5’-rr-(3’f-a)(3’f-a) y usos del mismo
IL259392A (en) 2018-05-15 2018-08-01 Yeda Res & Dev Vaccination with cancer neoantigens
KR102297470B1 (ko) * 2019-07-11 2021-09-02 가천대학교 산학협력단 줄기세포의 암세포로의 이동성 강화 방법
RU2722268C1 (ru) * 2019-12-06 2020-05-28 Федеральное государственное автономное образовательное учреждение высшего образования «Дальневосточный федеральный университет» (ДВФУ) Способ биотерапии лабораторных крыс с перевитой глиобластомой

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4411425A1 (de) * 1994-04-05 1995-10-19 Falkenberg Frank W Prof Dr Verfahren zur Herstellung einer Tumorvakzine für die Aktive Spezifische Immuntherapie (ASI)
WO1995031107A1 (fr) * 1994-05-13 1995-11-23 Board Of Trustees Of The University Of Illinois Strategies immunotherapeutiques appliquees dans le traitement du cancer
US5484596A (en) * 1984-01-31 1996-01-16 Akzo N.V. Active specific immunotherapy

Family Cites Families (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE441425C (de) 1921-04-16 1927-03-03 Charles Joseph Belli Federnde und elektrisch isolierende Kupplung
US4847201A (en) 1985-02-05 1989-07-11 Cetus Corporation DNA encoding for CSF-1 and accompanying recombinant systems
US5109113A (en) 1986-05-02 1992-04-28 Genentech, Inc. Membrane anchor fusion polypeptides
US5399346A (en) 1989-06-14 1995-03-21 The United States Of America As Represented By The Department Of Health And Human Services Gene therapy
US5290551A (en) 1990-05-08 1994-03-01 Thomas Jefferson University Treatment of melanoma with a vaccine comprising irradiated autologous melanoma tumor cells conjugated to a hapten
ATE145556T1 (de) 1990-09-06 1996-12-15 Schering Corp Verwendung von interleukin-4 zur behandlung der festen tumoren
DK0551401T3 (da) 1990-09-14 1996-01-22 Univ Texas Fremgangsmåde og præparater til genterapi og potensering af antitumor-immunitet
IL99497A (en) 1990-10-01 1997-03-18 Res Dev Foundation Synergistic compositions comprising tnf and il-4
US5681562A (en) 1991-06-25 1997-10-28 Sidney Kimmel Cancer Center Lymphokine gene therapy of cancer
US5637483A (en) 1991-10-04 1997-06-10 Whitehead Institute For Biomedical Research Irradiated tumor cell vaccine engineered to express GM-CSF
IL99821A (en) 1991-10-22 1996-07-23 Yeda Res & Dev Antitumor vaccines comprising cells transfected with a gene encoding human il-6
WO1993007906A1 (fr) 1991-10-25 1993-04-29 San Diego Regional Cancer Center Therapie du cancer par le gene de la lymphokine
EP0569678A3 (fr) 1992-03-13 1994-10-26 Yeda Res & Dev Cellules transfectées avec deux gènes codant pour le CMH, utilisées comme vaccins cellulaires pour la prévention immunitaire de métastases.
WO1995016775A1 (fr) 1993-12-14 1995-06-22 Yajun Guo Fusions de cellules tumorales et procedes d'utilisation de telles fusions de cellules tumorales
DE4406073A1 (de) 1994-02-24 1995-08-31 Univ Ludwigs Albert Verfahren zur Herstellung von humanen, klonogenen Fibroblasten, Verfahren zur Gentransfizierung von Fibroblasten und so erhaltene Fibroblasten
DE4412794A1 (de) 1994-04-14 1995-12-14 Univ Ludwigs Albert Verfahren zur Herstellung von dendritischen Zellen, so erhaltene Zellen und Behälter zur Durchführung dieses Verfahrens
DE4431401A1 (de) 1994-08-24 1996-02-29 Max Delbrueck Centrum Lebendvakzine gegen Tumorerkrankungen
JP3822261B2 (ja) 1994-09-09 2006-09-13 財団法人癌研究会 癌の遺伝子治療剤
CA2215388A1 (fr) * 1995-03-14 1996-09-19 Pritt Produktionsgesellschaft Mbh Ruban de transfert souple a plusieurs couches, procede de fabrication de ce ruban, et son utilisation dans un appareil manuel
DE69636514D1 (de) 1995-03-17 2006-10-19 Univ California Methode zur tumorbehandlung mit alloaktivierten humanen lymphozyen
DE19545351C1 (de) 1995-12-05 1997-07-31 Univ Ludwigs Albert Eukaryotische Zellen mit Hybridrezeptor und dadurch steuerbarem Genkonstrukt, Verfahren zu deren Herstellung und Verwendung dieser Zellen in der Gentherapie
US6033674A (en) * 1995-12-28 2000-03-07 Johns Hopkins University School Of Medicine Method of treating cancer with a tumor cell line having modified cytokine expression
US6051218A (en) 1996-02-02 2000-04-18 The Regents Of The University Of California Tumor radiosensitization using gene therapy
US6277368B1 (en) 1996-07-25 2001-08-21 The Regents Of The University Of California Cancer immunotherapy using autologous tumor cells combined with cells expressing a membrane cytokine
AU3889997A (en) 1996-08-16 1998-03-06 Johns Hopkins University School Of Medicine, The Melanoma cell lines expressing shared immunodominant melanoma antigens nd methods of using same
AU4818297A (en) 1996-10-16 1998-05-11 Johns Hopkins University, The Cytokine enhanced immunotherapy for brain tumors
DE19716098A1 (de) 1997-04-17 1998-10-22 Univ Ludwigs Albert Fibroblasten mit einem Fremdgen enthaltende Zusammensetzung zur Behandlung von Wunden
US5891432A (en) 1997-07-29 1999-04-06 The Immune Response Corporation Membrane-bound cytokine compositions comprising GM=CSF and methods of modulating an immune response using same

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5484596A (en) * 1984-01-31 1996-01-16 Akzo N.V. Active specific immunotherapy
DE4411425A1 (de) * 1994-04-05 1995-10-19 Falkenberg Frank W Prof Dr Verfahren zur Herstellung einer Tumorvakzine für die Aktive Spezifische Immuntherapie (ASI)
WO1995031107A1 (fr) * 1994-05-13 1995-11-23 Board Of Trustees Of The University Of Illinois Strategies immunotherapeutiques appliquees dans le traitement du cancer

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
ABE, J. ET AL: "Cytokine-gene-modified tumor vaccination intensified by a streptococcal preparation OK-432", CANCER IMMUNOLOGY IMMUNOTHERAPY, vol. 41, 1995, pages 82 - 86, XP002047495 *
STAIB L. ET AL.: "Protection against Experimental Cerebral Metastases of Murine Melanoma B16 by Active Immunization", CANCER RESEARCH, vol. 53, 1993, pages 1113 - 1121, XP002047496 *
WAKIMOTO H. ET AL.: "Intensified Antitumor Immunity by a Cancer Vaccine That Produces Granulocyte-Macrophage Colony-stimulating Factor plus Interleukin 4", CANCER RESEARCH, vol. 56, 15 April 1996 (1996-04-15), pages 1828 - 1833, XP002047494 *

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7361332B2 (en) 1995-03-17 2008-04-22 The Regents Of The University Of California Treating tumors using implants comprising combinations of allogeneic cells
US6207147B1 (en) 1996-10-11 2001-03-27 The Regents Of The University Of California Cancer immunotherapy using tumor cells combined with mixed lymphocytes
WO1998039449A1 (fr) * 1997-03-04 1998-09-11 Chiron Corporation COMPOSITIONS ET UTILISATIONS DE M-CSF-alpha
WO1998048000A3 (fr) * 1997-04-23 1999-01-28 Univ California Souche cellulaire a activite cytotoxique anticancereuse
US7175839B1 (en) 1997-10-10 2007-02-13 Meyer Pharmaceuticals Llc Cancer immunotherapy using allostimulated cells in a multiple sequential implantation strategy
EP1076564A4 (fr) * 1998-04-02 2005-02-23 Univ California Procedes servant a augmenter le developpement de cellules presentant des antigenes et les reactions immunes antitumorales chez un patient humain
EP1076564A1 (fr) * 1998-04-02 2001-02-21 The Regents of the University of California Procedes servant a augmenter le developpement de cellules presentant des antigenes et les reactions immunes antitumorales chez un patient humain
US7217421B1 (en) * 1998-11-03 2007-05-15 Cell Genesys, Inc. Cancer-associated antigens and methods of their identification and use
US7226606B2 (en) 1998-11-03 2007-06-05 Cell Genesys, Inc. Cancer-associated antigens and methods of their identification and use
US7645587B2 (en) 1998-11-03 2010-01-12 Biosante Pharmaceuticals, Inc. Cancer-associated antigens and methods of their identification and use
US7666609B1 (en) 1998-12-01 2010-02-23 Shanghai Cp Guojian Pharmaceutical Co. Ltd. Method and composition for diagnosis of melanocytic lesions
WO2000050584A3 (fr) * 1999-02-24 2001-11-15 Univ Iowa Res Found PROCEDES ET COMPOSITIONS DESTINES A AMELIORER L'INTRODUCTION/EXPRESSION DE GENE $i(IN VIVO)
US7361329B2 (en) 2000-04-21 2008-04-22 Chemocentryx, Inc. Compositions for inducing an immune response
WO2002080972A1 (fr) * 2001-04-03 2002-10-17 Neurotech Association d'un antigene tumoral et d'un systeme de delivrance d'une cytokine ou d'une chemokine a des fins d'immunotherapie du cancer
FR2822707A1 (fr) * 2001-04-03 2002-10-04 Neurotech Association d'un antigene tumoral et d'un systeme de delivrance d'une cytokine ou d'une chemokine a des fins d'immunotherapie du cancer
WO2002085409A3 (fr) * 2001-04-12 2002-12-27 Chemocentryx Procedes et compositions permettant d'induire une reponse immunitaire
WO2012096862A1 (fr) * 2011-01-13 2012-07-19 Oncbiomune, L.L.C. Vaccination de patients atteints du cancer

Also Published As

Publication number Publication date
US20010036458A1 (en) 2001-11-01
DE69739046D1 (de) 2008-11-27
US20010038841A1 (en) 2001-11-08
EP0915708A1 (fr) 1999-05-19
US7364726B2 (en) 2008-04-29
US6277368B1 (en) 2001-08-21
AU3965597A (en) 1998-02-20
CA2261837A1 (fr) 1998-02-05
US20080075744A1 (en) 2008-03-27
US20080057029A1 (en) 2008-03-06
US7264820B2 (en) 2007-09-04
EP0915708B1 (fr) 2008-10-15
ATE411042T1 (de) 2008-10-15

Similar Documents

Publication Publication Date Title
US7364726B2 (en) Pharmaceutical composition for cancer treatment containing cells that express a membrane cytokine
EP0930887B1 (fr) Immunotherapie anticancereuse utilisant des cellules tumorales combinees a des lymphocytes mixtes
Rosenberg Immunotherapy and gene therapy of cancer
Ashley et al. Bone marrow–generated dendritic cells pulsed with tumor extracts or tumor RNA induce antitumor immunity against central nervous system tumors
Tanaka et al. Rapid generation of potent and tumor-specific cytotoxic T lymphocytes by interleukin 18 using dendritic cells and natural killer cells
JP3524918B2 (ja) 癌のリンホカイン遺伝子療法
EP1012240B1 (fr) Immunotherapie anticancer a base de cellules semi-allogeniques
US9694059B2 (en) Ex vivo, fast and efficient process to obtain activated antigen-presenting cells that are useful for therapies against cancer and immune system-related diseases
JP2019500028A (ja) 癌免疫療法で使用するための二重特異性ｔ細胞を製造する方法
EA015510B1 (ru) Способ увеличения количества мононуклеарных клеток у субъекта, страдающего раком, и используемая для этого фармацевтическая комбинация
CN119487058A (zh) 膜结合il-15、cd8多肽、细胞、组合物及其使用方法
Santin et al. Development and characterization of an IL-4-secreting human ovarian carcinoma cell line
Dorigo et al. Gene therapy for ovarian cancer: development of novel treatment strategies
JPH09504786A (ja) ハプロタイプ適合サイトカイン分泌細胞および免疫応答を刺激するための使用方法
CA2253790C (fr) Methodes pour augmenter l'immunite anti-tumorale chez un mammifere
Okada et al. Characterization and transduction of a retroviral vector encoding human interleukin-4 and herpes simplex virus-thymidine kinase for glioma tumor vaccine therapy
Santin et al. Development and in vitro characterization of a GM‐CSF secreting human ovarian carcinoma tumor vaccine
Krauss et al. Efficient transduction of early passage human melanoma to secrete IL-4
US20220160852A1 (en) Human vaccine compositions and methods for treating leukemia
MXPA99003341A (en) Cancer immunotherapy using tumor cells combined with mixed lymphocytes
Parney Human glioma immunology and immunogene therapy.
SCHREIBER Genetically Engineered Vaccines
Sun Immunity in mice immunized with allogenic cells transfected with genomic DNA from murine neoplasms
US20030044393A1 (en) Method for increasing tumor cell immunogenicity using heat shock protein
Wei et al. Dendritoma Vaccine for Cancer: A Hopeful Approach

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AL AM AT AU AZ BA BB BG BR BY CA CH CN CZ DE DK EE ES FI GB GE HU IL IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MD MG MK MN MW MX NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT UA UG US UZ VN YU ZW AM AZ BY KG KZ MD RU TJ TM

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): GH KE LS MW SD SZ UG ZW AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
121 Ep: the epo has been informed by wipo that ep was designated in this application
ENP Entry into the national phase

Ref document number: 2261837

Country of ref document: CA

Ref country code: CA

Ref document number: 2261837

Kind code of ref document: A

Format of ref document f/p: F

WWE Wipo information: entry into national phase

Ref document number: 1997937043

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 1997937043

Country of ref document: EP

REG Reference to national code

Ref country code: DE

Ref legal event code: 8642

NENP Non-entry into the national phase

Ref country code: JP

Ref document number: 1998509050

Format of ref document f/p: F

点击 这是indexloc提供的php浏览器服务，不要输入任何密码和下载